1417418062 NPI number — CAPITOL ORTHOPEDIC INC

Table of content: (NPI 1417418062)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417418062 NPI number — CAPITOL ORTHOPEDIC INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CAPITOL ORTHOPEDIC INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1417418062
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/27/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1701 COMMERCE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TONGANOXIE
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66086-5369
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
913-369-8734
Provider Business Mailing Address Fax Number:
844-409-6687

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
708 S ROOSEVELT ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ABERDEEN
Provider Business Practice Location Address State Name:
SD
Provider Business Practice Location Address Postal Code:
57401-0300
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-369-8734
Provider Business Practice Location Address Fax Number:
844-409-6687
Provider Enumeration Date:
03/27/2019

Additional Information

Authorized Official

Authorized Official Last Name:
ADAME
Authorized Official First Name:
THERESA
Authorized Official Middle Name:
Authorized Official Title or Position:
BILLING SUPERVISOR
Authorized Official Telephone Number:
913-369-8734

Provider Taxonomy Codes

  • Taxonomy code: 335E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2016289 , issued by the state of ( SD ) . This identifiers is of the category "MEDICAID".




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