Active NPI
David a. Van Auker
Doing business as Genesis Prosthetic Arts
- Prosthetic/Orthotic Supplier
- Howell, MI
National Provider Identifier
1861679078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- DAVID A. VAN AUKER
- Doing business as
- Genesis Prosthetic Arts
- Practice address
- 2106 Musson Rd
Howell, MI 48855-9082 - Phone
- (517) 540-6190
- Fax
- (517) 540-6191
- NPI assigned
- Jan 30, 2008
- 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
- Mr. David Van Auker, MA, CP, CCA
- Title
- Owner/President
- Phone
- (517) 540-6190
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
2106 Musson Rd
Howell, MI 48855-9082
Mailing address
2106 Musson Rd
Howell, MI 48855-9082
Phone (517) 540-6190
Other names 1
- Genesis Prosthetic Arts
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213747200000",
"number": "1861679078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2106 MUSSON RD",
"city": "HOWELL",
"state": "MI",
"postal_code": "488559082",
"telephone_number": "517-540-6190",
"fax_number": "517-540-6191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2106 MUSSON RD",
"city": "HOWELL",
"state": "MI",
"postal_code": "488559082",
"telephone_number": "517-540-6190",
"fax_number": "517-540-6191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID A. VAN AUKER",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-30",
"last_updated": "2008-06-18",
"status": "A",
"authorized_official_last_name": "VAN AUKER",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "517-540-6190",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MA, CP, CCA"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Genesis Prosthetic Arts",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Howell, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.