Applied Pedorthic Services, P.C.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

APPLIED PEDORTHIC SERVICES, P.C.

Practice address

2001 Larkin Ave
Suite 007
Elgin, IL 60123-5808

Phone

(847) 841-1715

Fax

(847) 841-1716

NPI assigned

Feb 14, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Westeron Stephens III

Title

President

Phone

(847) 841-1715

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851434591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 LARKIN AVE",
            "address_2": "SUITE 007",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235808",
            "telephone_number": "847-841-1715",
            "fax_number": "847-841-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 LARKIN AVE",
            "address_2": "SUITE 007",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235808",
            "telephone_number": "847-841-1715",
            "fax_number": "847-841-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLIED PEDORTHIC SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "WESTERON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-841-1715",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "5016290001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.