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OHIO CUSTOM ORTHOTICS LLC
NPI 1659612125
Durable Medical Equipment & Medical Supplies - Customized Equipment in Moraine, OH

Active since March 08, 2013
2621 DRYDEN RD, STE 106, MORAINE, OH 45439(314) 821-2600(888) 770-2935 Get Directions Write a Review

NPPES record last updated: March 8, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ohio Custom Orthotics Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OHIO CUSTOM ORTHOTICS LLC (NPI 1659612125) is a healthcare organization registered as a customized equipment in Moraine, Ohio and active in the NPI registry since March 2013. The organization lists Don Havey, Owner, as its authorized official.

NPPES Registry Identity

NPI1659612125
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameOHIO CUSTOM ORTHOTICS LLC
Location Address2621 DRYDEN RD, STE 106Moraine, OH 45439-1661
Mailing Address17600 Chesterfield Airport Rd, Ste. 204Chesterfield, MO 63005-1246 · (314) 821-2600 · Fax (888) 770-2935
Phone(314) 821-2600
Fax(888) 770-2935
Organization SubpartNo
Authorized OfficialDon HaveyOwner · (314) 821-2600
Enumeration DateMarch 8, 2013
✔ NPI 1659612125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers
Taxonomy Code332BC3200X
2621 DRYDEN RD, Moraine, OH 45439
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA GOODRICH
Case Manager/Care Coordinator
2621 DRYDEN RD
MORAINE, OH 45439
Montgomery County (937) 293-1945
CHAVA SHANKLIN
Case Manager/Care Coordinator
2621 DRYDEN RD
MORAINE, OH 45439
Montgomery County (937) 293-1945
SAMANTHA SMITH
Case Manager/Care Coordinator
2621 DRYDEN RD
MORAINE, OH 45439
Montgomery County (937) 293-1945
NICOLE DONEGAN
Case Manager/Care Coordinator
2621 DRYDEN RD
MORAINE, OH 45439
Montgomery County (937) 293-1945
RAMIS VERMILLION
Case Manager/Care Coordinator
2621 DRYDEN RD
MORAINE, OH 45439
Montgomery County (937) 293-1945
JONATHAN CULLER
Case Manager/Care Coordinator
2621 DRYDEN RD
MORAINE, OH 45439
Montgomery County (937) 293-1945
TEONA NOBLE
Case Manager/Care Coordinator
2621 DRYDEN RD
MORAINE, OH 45439
Montgomery County (937) 293-1945
RYAN KING
Case Manager/Care Coordinator
2621 DRYDEN RD
MORAINE, OH 45439
Montgomery County (937) 293-1945

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ohio Custom Orthotics LLC's NPI number?

The NPI number for Ohio Custom Orthotics LLC is 1659612125. It was assigned to this organization in the NPPES registry on March 8, 2013.

Where is Ohio Custom Orthotics LLC located?

Ohio Custom Orthotics LLC is located at 2621 Dryden Rd Ste 106, Moraine, OH 45439. The listed phone number is (314) 821-2600.

What is Ohio Custom Orthotics LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

When was this NPI record last updated?

The NPPES record for Ohio Custom Orthotics LLC was last updated on March 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.