Active NPI
Djo, LLC
- Durable Medical Equipment & Medical Supplies
- Goshen, IN
National Provider Identifier
1861267460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2026
- Organization subpart
- Yes
- Parent organization
- ENOVIS CORPORATION
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 LLC
- Part of
- Djo LLC
Other organizations with this tax ID 8
Organizations that report the same tax identification number in the National Provider Directory.
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- Durable Medical Equipment & Medical Supplies
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- NPI 1003632084
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- NPI 1023296035
-
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- NPI 1033980271
-
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- Overland Park, KS
- NPI 1053195446
-
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- NPI 1497731533
-
- Durable Medical Equipment & Medical Supplies
- Vista, CA
- NPI 1518708320
-
- Durable Medical Equipment & Medical Supplies
- Saint Paul, MN
- NPI 1780459388
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- Durable Medical Equipment & Medical Supplies
- Lewisville, TX
- NPI 1982345302
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.