Active NPI
Ortho Medics
- Prosthetic/Orthotic Supplier
- Kearney, NE
National Provider Identifier
1972621365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- ORTHO MEDICS
- Practice address
- 8 W 56TH St
Kearney, NE 68847-0503 - Phone
- (308) 237-6105
- Fax
- (308) 237-6106
- NPI assigned
- Mar 26, 2007
- 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
- Mr. Jacob W Sikes, C.O.
- Title
- C.O.
- Phone
- (308) 237-6105
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
8 W 56TH St
Kearney, NE 68847-0503
Mailing address
8 W 56TH St
Kearney, NE 68847-0503
Phone (308) 237-6105
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025525800 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930048197 | NE | DME Supplier - Orthotic Personnel | 7416151311 | Practice locations: Kearney, NE |
National Provider Directory
National Provider DirectoryLocations
3710 Central Ave
Ste 10
Kearney, NE 68847
Phone (308) 237-6105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196294400000",
"number": "1972621365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 W 56TH ST",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688470503",
"telephone_number": "308-237-6105",
"fax_number": "308-237-6106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 W 56TH ST",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688470503",
"telephone_number": "308-237-6105",
"fax_number": "308-237-6106"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHO MEDICS",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-26",
"last_updated": "2007-11-29",
"status": "A",
"authorized_official_last_name": "SIKES",
"authorized_official_first_name": "JACOB",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "C.O.",
"authorized_official_telephone_number": "308-237-6105",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "C.O."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025525800",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.