NPIMap

Organization Active NPI

Professional Orthotic & Prosthetic Services, LLC

Doing business as HeartLand O&P

  • Prosthetic/Orthotic Supplier
  • Manhattan, KS
National Provider Identifier
1952961799
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
PROFESSIONAL ORTHOTIC & PROSTHETIC SERVICES, LLC
Doing business as
HeartLand O&P
Practice address
919 Westport PL
Manhattan, KS 66502-2913
Phone
(785) 320-2320
Fax
(785) 320-2321
NPI assigned
Jun 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Authorized official

Name
Brandon Lee Smith, CP, BOCONPI 1730486457
Title
Owner
Phone
(785) 375-7458

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
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

919 Westport PL
Manhattan, KS 66502-2913

Mailing address

262 Johnson Rd Unit a
Manhattan, KS 66502-1516
Phone (785) 320-5293

Other identifiers 2

IdentifierTypeStateIssuer
C50162OtherKSBOC
CP004340OtherKSABC

Other names 1

  • HeartLand O&P Doing business as

National Provider Directory

National Provider Directory

Locations

262 Johnson Rd
#A
Manhattan, KS 66502

Practitioners & affiliated clinicians

Practitioners 1

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": "1560470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570406400000",
    "number": "1952961799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 JOHNSON RD UNIT A",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665021516",
            "telephone_number": "785-320-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 WESTPORT PL",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022913",
            "telephone_number": "785-320-2320",
            "fax_number": "785-320-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL ORTHOTIC & PROSTHETIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-14",
        "last_updated": "2019-10-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-375-7458",
        "authorized_official_credential": "CP, BOCO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOC",
            "identifier": "C50162",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABC",
            "identifier": "CP004340",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HeartLand O&P",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HeartLand O&P",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manhattan, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.