Missouri Custom Orthotics LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

MISSOURI CUSTOM ORTHOTICS LLC

Practice address

12882 Manchester Rd
Ste. 204
Saint Louis, MO 63131-1858

Phone

(314) 821-2600

Fax

(888) 770-2935

NPI assigned

Feb 14, 2013

Last updated

Jul 10, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Don Havey

Title

Owner

Phone

(314) 821-2600

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donald Brian Havey, D.C.

  • Chiropractor
  • Chesterfield, MO
  • NPI 1477746725
  NPD (past)

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1871832600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12882 MANCHESTER RD",
            "address_2": "STE. 204",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311858",
            "telephone_number": "314-821-2600",
            "fax_number": "888-770-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12882 MANCHESTER RD",
            "address_2": "STE. 204",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311858",
            "telephone_number": "314-821-2600",
            "fax_number": "888-770-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI CUSTOM ORTHOTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-14",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "HAVEY",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-821-2600"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Customized Equipment (DME) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.