Active NPI
C.D.Denison Orthopaedic Appliance Corp.
- Prosthetic/Orthotic Supplier
- Towson, MD
National Provider Identifier
1952376741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- C.D.DENISON ORTHOPAEDIC APPLIANCE CORP.
- Practice address
- 32 West Rd
Suite 120
Towson, MD 21204-2304 - Phone
- (410) 321-6844
- Fax
- (410) 321-6833
- NPI assigned
- Feb 23, 2006
- 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
- Michelle Koehler, CO
- Title
- President
- Phone
- (410) 321-6844
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
32 West Rd
Suite 120
Towson, MD 21204-2304
Mailing address
32 West Rd
Suite 120
Towson, MD 21204-2304
Phone (410) 321-6844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 367962400 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930022991 | MD | DME Supplier - Orthotic Personnel | 0143433763 | Practice locations: Towson, MD |
National Provider Directory
National Provider DirectoryLocations
32 West Rd
Ste 120
Towson, MD 21204
Phone (410) 321-6844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1567728000000",
"number": "1952376741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 WEST RD",
"address_2": "SUITE 120",
"city": "TOWSON",
"state": "MD",
"postal_code": "212042304",
"telephone_number": "410-321-6844",
"fax_number": "410-321-6833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 WEST RD",
"address_2": "SUITE 120",
"city": "TOWSON",
"state": "MD",
"postal_code": "212042304",
"telephone_number": "410-321-6844",
"fax_number": "410-321-6833"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "C.D.DENISON ORTHOPAEDIC APPLIANCE CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-23",
"last_updated": "2019-09-06",
"status": "A",
"authorized_official_last_name": "KOEHLER",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "410-321-6844",
"authorized_official_credential": "CO"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "367962400",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.