KIRKSVILLE FOOT & SHOE
NPI 1275905424
Prosthetic/Orthotic Supplier in Kirksville, MO

NPI Status: Active since October 28, 2015

Contact Information

202 N FRANKLIN ST
KIRKSVILLE, MO
ZIP 63501
Phone: (660) 730-5030

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  • Organization
  • Prosthetic/Orthotic Supplier
  • CLIA Number: 26D0891142
  • CLIA Cert. Type: Home Health Agency
  • CLIA Exp. Date: 08-30-2026

About KIRKSVILLE FOOT & SHOE

This page provides the complete NPI Profile along with additional information for Kirksville Foot & Shoe, a provider established in Kirksville, Missouri operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1275905424 assigned on October 2015. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Ted Deininger Bocop (Owner)

NPI
1275905424
Provider Name
KIRKSVILLE FOOT & SHOE
Entity Type
Organization
Location Address
202 N FRANKLIN ST KIRKSVILLE, MO 63501
Location Phone
(660) 730-5030
Mailing Address
202 N FRANKLIN ST KIRKSVILLE, MO 63501
Mailing Phone
(660) 730-5030
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-28-2015
Last Update Date
10-28-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Prosthetic/Orthotic Supplier

Taxonomy Code
335E00000X
Type
Suppliers
Taxonomy Description
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TED DEININGER BOCOP

Authorized Official Title
OWNER
Authorized Official Phone
(660) 988-4271

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
26D0891142
Facility Type
Home Health Agency
Certificate Effective Date
August 31, 2024
Certificate Expiration Date
August 30, 2026
Laboratory Director
LORI RUPP
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Kirksville Foot & Shoe to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1275905424
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221451801044
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 8 + 0 + 1 + 0 + 4 + 4 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1275905424 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275905424, enumerated in the NPI registry as an "organization" on October 28, 2015

The provider is located at 202 N Franklin St Kirksville, Mo 63501 and the phone number is (660) 730-5030

This medical organization specializes in Prosthetic/Orthotic Supplier with taxonomy code 335E00000X

The provider's CLIA number is 26D0891142 for a "home health agency" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on October 28, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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