Organization Active NPI

Djo, LLC

  • Durable Medical Equipment & Medical Supplies
  • Goshen, IN
National Provider Identifier
1861267460
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DJO, LLC
Practice address
2020 Elkhart Rd Ste B
Goshen, IN 46526-1100
Phone
(574) 208-6702
NPI assigned
Nov 24, 2023
Last updated
Oct 9, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ENOVIS CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Authorized official

Name
Mr. Andres Moreno III
Title
Bas President
Phone
(800) 321-3549

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Prosthetic/Orthotic Supplier 335E00000X NU

Addresses

Primary practice location

2020 Elkhart Rd Ste B
Goshen, IN 46526-1100

Mailing address

2020 Elkhart Rd Ste B
Goshen, IN 46526-1100
Phone (574) 208-6702

National Provider Directory

National Provider Directory
Tax ID family
Djo LLC9 organizations share this tax ID, including this one
Part of
Djo LLC

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2020 Elkhart Rd
Ste B
Goshen, IN 46526
Phone (574) 208-6702

NPI Registry JSON

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

{
    "created_epoch": "1700784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791504000000",
    "number": "1861267460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 ELKHART RD STE B",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465261100",
            "telephone_number": "574-208-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 ELKHART RD STE B",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465261100",
            "telephone_number": "574-208-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DJO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENOVIS CORPORATION",
        "enumeration_date": "2023-11-24",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_title_or_position": "BAS PRESIDENT",
        "authorized_official_telephone_number": "800-321-3549",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; 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.