Active NPI
Kessler-Heasley Artificial Limb Co
- Prosthetic/Orthotic Supplier
- Springfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- KESSLER-HEASLEY ARTIFICIAL LIMB CO
- Doing business as
- Kessler-Heasley Artificial Limb Co
- Practice address
- 3250 S Delaware Ave
Springfield, MO 65804-6486 - Phone
- (417) 889-3222
- Fax
- (417) 889-3223
- NPI assigned
- Nov 2, 2005
- Last updated
- Jan 17, 2022
- 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
- Angie Jon Muggenburg
- Title
- Office Manager
- Phone
- (417) 889-3222
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Prosthetic/Orthotic Supplier | 335E00000X | NU | Primary |
Addresses
Primary practice location
3250 S Delaware Ave
Springfield, MO 65804-6486
Mailing address
3250 S Delaware Ave
Springfield, MO 65804-6486
Phone (417) 889-3222
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31417 | Other | MO | BLUE CROSS BLUE SHIELD ID |
| 620744805 | Medicaid | MO |
Other names 1
- Kessler-Heasley Artificial Limb Co
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930064345 | MO | DME Supplier - Medical Supply Company With Orthotic-Prosthetic | 3779601174 | Practice locations: Springfield, MO |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Joplin Prosthetics and Orthotics
- Prosthetic/Orthotic Supplier
- Joplin, MO
- NPI 1154734317
3779601174
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Ozark Prosthetics & Orthotics | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Ozark Prosthetics
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Joplin Prosthetics and Orthotics
- Prosthetic/Orthotic Supplier
- Joplin, MO
- NPI 1154734317
Locations
3250 S Delaware Ave
Springfield, MO 65804
Phone (417) 889-3222
Ownership & related parties
Subparts reporting this organization as parent 2
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba Ozark Prosthetics & Orthotics
- Prosthetic/Orthotic Supplier
- Monett, MO
- NPI 1992007124
-
dba Joplin Prosthetics and Orthotics
- Prosthetic/Orthotic Supplier
- Joplin, MO
- NPI 1154734317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642377600000",
"number": "1881685535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3250 S DELAWARE AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658046486",
"telephone_number": "417-889-3222",
"fax_number": "417-889-3223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 S DELAWARE AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658046486",
"telephone_number": "417-889-3222",
"fax_number": "417-889-3223"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KESSLER-HEASLEY ARTIFICIAL LIMB CO",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-02",
"last_updated": "2022-01-17",
"certification_date": "2022-01-17",
"status": "A",
"authorized_official_last_name": "MUGGENBURG",
"authorized_official_first_name": "ANGIE",
"authorized_official_middle_name": "JON",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "417-889-3222"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD ID",
"identifier": "31417",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "620744805",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kessler-Heasley Artificial Limb Co",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.