Organization Active NPI

Cornell Orthotics & Prosthetics Entp. LLC

  • Prosthetic/Orthotic Supplier
  • Wichita, KS
National Provider Identifier
1992719330
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
CORNELL ORTHOTICS & PROSTHETICS ENTP. LLC
Practice address
6108 W Central Ave
Wichita, KS 67212-2844
Phone
(316) 684-2673
Fax
(316) 941-3502
NPI assigned
Jul 29, 2006
Last updated
Dec 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Mr. Bill Cornell, BOC(P) RT(P)
Title
President
Phone
(316) 684-2673

Specialties & licenses 1

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

Addresses

Primary practice location

6108 W Central Ave
Wichita, KS 67212-2844

Mailing address

6108 W Central Ave
Wichita, KS 67212-2844
Phone (316) 684-2673

National Provider Directory

National Provider Directory

Locations

6108 W Central Ave
Wichita, KS 67212
Phone (316) 684-2673

6114 W Central Ave
Wichita, KS 67212
Phone (316) 640-0614

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": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1992719330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6108 W CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672122844",
            "telephone_number": "316-684-2673",
            "fax_number": "316-941-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6108 W CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672122844",
            "telephone_number": "316-684-2673",
            "fax_number": "316-941-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNELL ORTHOTICS & PROSTHETICS ENTP. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "CORNELL",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-684-2673",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BOC(P) RT(P)"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.