Organization Active NPI

3D Scoliosis Brace, LLC

  • Customized Equipment (DME)
  • Osceola, IN
National Provider Identifier
1922485440
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
3D SCOLIOSIS BRACE, LLC
Practice address
5432 Lincolnway E
Osceola, IN 46561-1960
Phone
(574) 679-0100
Fax
(574) 675-9586
NPI assigned
May 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Authorized official

Name
Donald P Warren, DCNPI 1922085315
Title
Owner
Phone
(574) 679-0100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

5432 Lincolnway E
Osceola, IN 46561-1960

Mailing address

5432 Lincolnway E
Osceola, IN 46561-1960
Phone (574) 679-0100

National Provider Directory

National Provider Directory

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1922485440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5432 LINCOLNWAY E",
            "city": "OSCEOLA",
            "state": "IN",
            "postal_code": "465611960",
            "telephone_number": "574-679-0100",
            "fax_number": "574-675-9586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5432 LINCOLNWAY E",
            "city": "OSCEOLA",
            "state": "IN",
            "postal_code": "465611960",
            "telephone_number": "574-679-0100",
            "fax_number": "574-675-9586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3D SCOLIOSIS BRACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-679-0100",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osceola, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.