Organization Active NPI

Kessler-Heasley Artificial Limb Co

  • Prosthetic/Orthotic Supplier
  • Springfield, MO
National Provider Identifier
1881685535
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
31417OtherMOBLUE CROSS BLUE SHIELD ID
620744805MedicaidMO

Other names 1

  • Kessler-Heasley Artificial Limb Co Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930064345 MO DME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Medical Supply Company With Prosthetic Personnel 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).

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Ozark Prosthetics & Orthotics3250 S Delaware Ave, Springfield, MO 65804-6486(417) 889-3222 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 assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Ozark Prosthetics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

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.

Verify at the official NPI Registry.