Organization Active NPI

Chladek Orthotic & Prosthetic Associates., Inc.

  • Prosthetic/Orthotic Supplier
  • Urbandale, IA
National Provider Identifier
1942265228
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
CHLADEK ORTHOTIC & PROSTHETIC ASSOCIATES., INC.
Practice address
3005 86TH St
Urbandale, IA 50322-4001
Phone
(515) 244-4040
Fax
(515) 244-5455
NPI assigned
Apr 19, 2006
Last updated
May 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Authorized official

Name
Noel J Chladek, CO
Title
Owner/ Certified Orthotist
Phone
(515) 244-4040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

3005 86TH St
Urbandale, IA 50322-4001

Mailing address

3005 86TH St
Urbandale, IA 50322-4001
Phone (515) 244-4040

Other identifiers 2

IdentifierTypeStateIssuer
0665703MedicaidIA
0117051MedicaidIA

National Provider Directory

National Provider Directory

Locations

3005 86th St
Urbandale, IA 50322
Phone (515) 244-4040

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369785600000",
    "number": "1942265228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 86TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503224001",
            "telephone_number": "515-244-4040",
            "fax_number": "515-244-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 86TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503224001",
            "telephone_number": "515-244-4040",
            "fax_number": "515-244-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHLADEK ORTHOTIC & PROSTHETIC ASSOCIATES., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2013-05-29",
        "status": "A",
        "authorized_official_last_name": "CHLADEK",
        "authorized_official_first_name": "NOEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/ CERTIFIED ORTHOTIST",
        "authorized_official_telephone_number": "515-244-4040",
        "authorized_official_credential": "CO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0665703",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0117051",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbandale, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.