Active NPI
Fidelity Orthopedic Inc
- Prosthetic/Orthotic Supplier
- Dayton, OH
National Provider Identifier
1851764419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- FIDELITY ORTHOPEDIC INC
- Practice address
- 8514 N Main St
Dayton, OH 45415-1325 - Phone
- (937) 228-0682
- NPI assigned
- Nov 4, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Murka
- Title
- Vice President
- Phone
- (937) 228-0682
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | OH | Primary |
Addresses
Primary practice location
8514 N Main St
Dayton, OH 45415-1325
Mailing address
8514 N Main St
Dayton, OH 45415-1325
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2307417 | Medicaid | OH | |
| 2728347 | Medicaid | OH |
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 3
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Prosthetic/Orthotic Supplier
- Centerville, OH
- NPI 1851365472
-
- Prosthetic/Orthotic Supplier
- Dayton, OH
- NPI 1285608802
-
- Prosthetic/Orthotic Supplier
- West Chester, OH
- NPI 1972577245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1446595200000",
"number": "1851764419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8514 N MAIN ST",
"city": "DAYTON",
"state": "OH",
"postal_code": "454151325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8514 N MAIN ST",
"city": "DAYTON",
"state": "OH",
"postal_code": "454151325",
"telephone_number": "937-228-0682"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIDELITY ORTHOPEDIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-04",
"last_updated": "2015-11-04",
"status": "A",
"authorized_official_last_name": "MURKA",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "937-228-0682"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2307417",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2728347",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.