OHIO CUSTOM ORTHOTICS LLC NPI 1659612125

NPI Information

  • NPI: 1659612125
  • Provider Name: OHIO CUSTOM ORTHOTICS LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
  • Specialization: Customized Equipment
  • Entity Type: Organization
  • Address: 2621 DRYDEN RD
    STE 106
    MORAINE, OH
    ZIP 45439
  • Phone: (314) 821-2600

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NPI Details

OHIO CUSTOM ORTHOTICS LLC is a customized equipment durable medical equipment medical supplies in Moraine, OH. OHIO CUSTOM ORTHOTICS LLC NPI is 1659612125. The provider is registered as an organization entity type.

The provider's business location address is:

2621 DRYDEN RD
STE 106
MORAINE, OH
ZIP 45439-661
Phone: (314) 821-2600
Fax: (888) 770-2935

The provider's authorized official is Don Havey .
The authorized official title is Owner and has the following contact phone number (314) 821-2600.

The enumeration date for this NPI number is 3/8/2013 and was last updated on 3/8/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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