Organization Active NPI

Maryland Orthotics and Prosthethics Co, Inc.

  • Prosthetic/Orthotic Supplier
  • Westminster, MD
National Provider Identifier
1982880803
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
MARYLAND ORTHOTICS AND PROSTHETHICS CO, INC.
Practice address
15 E Main St
Suite 116
Westminster, MD 21157-5037
Phone
(410) 876-6584
Fax
(410) 665-2405
NPI assigned
Jan 10, 2008
Last updated
Jun 8, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
MARYLAND ORTHOTICS AND PROSTHETICS CO, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Authorized official

Name
June Dunn
Title
Owner/President
Phone
(410) 977-9853

Specialties & licenses 1

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

Addresses

Primary practice location

15 E Main St
Suite 116
Westminster, MD 21157-5037

Mailing address

8 Newport Dr Ste a
Forest Hill, MD 21050-1615
Phone (410) 893-1116

Other identifiers 1

IdentifierTypeStateIssuer
424091000MedicaidMD

National Provider Directory

National Provider Directory
Part of
Maryland Orthotics and Prosthetics Co Inc

Locations

2014 S Tollgate Rd
Ste 105
Bel Air, MD 21015
Phone (410) 569-9202

8517 Loch Raven Blvd
Loch Raven, MD 21286

15 E Main St
Ste 116
Westminster, MD 21157
Phone (410) 876-6584

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1982880803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 NEWPORT DR STE A",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210501615",
            "telephone_number": "410-893-1116",
            "fax_number": "410-665-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E MAIN ST",
            "address_2": "SUITE 116",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575037",
            "telephone_number": "410-876-6584",
            "fax_number": "410-665-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND ORTHOTICS AND PROSTHETHICS CO, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARYLAND ORTHOTICS  AND PROSTHETICS CO, INC.",
        "enumeration_date": "2008-01-10",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "JUNE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "410-977-9853"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "424091000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.