Individual provider Active NPI

Saro William Sluppick, C.O.

  • Orthotist
  • Cordova, TN
National Provider Identifier
1922284454
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
License
ORT0000000090 Issued in TN
Practice address
748 Walnut Knoll LN
Suite 2&3
Cordova, TN 38018-3110
Phone
(901) 737-5738
Fax
(901) 737-5692
NPI assigned
Jan 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X ORT0000000090 TN Primary

Addresses

Primary practice location

748 Walnut Knoll LN
Suite 2&3
Cordova, TN 38018-3110

Mailing address

748 Walnut Knoll LN
Suite 2&3
Cordova, TN 38018-3110
Phone (901) 737-5738

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ORT0000000090TNMDOrthotist

Practice roles

OrganizationSpecialtyStatusNew patients
Bio-Designs Prosthetics, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201132800000",
    "number": "1922284454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 WALNUT KNOLL LN",
            "address_2": "SUITE 2&3",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380183110",
            "telephone_number": "901-737-5738",
            "fax_number": "901-737-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 WALNUT KNOLL LN",
            "address_2": "SUITE 2&3",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380183110",
            "telephone_number": "901-737-5738",
            "fax_number": "901-737-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLUPPICK",
        "first_name": "SARO",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "C.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "TN",
            "license": "ORT0000000090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.

Verify at the official NPI Registry.