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MISSOURI CUSTOM ORTHOTICS LLC
NPI 1871832600
Durable Medical Equipment & Medical Supplies - Customized Equipment in Saint Louis, MO

Active since February 14, 2013
12882 MANCHESTER RD, STE. 204, SAINT LOUIS, MO 63131(314) 821-2600(888) 770-2935 Get Directions Write a Review

NPPES record last updated: July 10, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Missouri Custom Orthotics Llc NPPES

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

MISSOURI CUSTOM ORTHOTICS LLC (NPI 1871832600) is a healthcare organization registered as a customized equipment in Saint Louis, Missouri and active in the NPI registry since February 2013. The organization lists Don Havey, Owner, as its authorized official.

NPPES Registry Identity

NPI1871832600
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameMISSOURI CUSTOM ORTHOTICS LLC
Location Address12882 MANCHESTER RD, STE. 204Saint Louis, MO 63131-1858
Mailing Address12882 Manchester Rd, Ste. 204Saint Louis, MO 63131-1858 · (314) 821-2600 · Fax (888) 770-2935
Phone(314) 821-2600
Fax(888) 770-2935
Organization SubpartNo
Authorized OfficialDon HaveyOwner · (314) 821-2600
Enumeration DateFebruary 14, 2013
Last NPPES UpdateJuly 10, 2013
✔ NPI 1871832600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers
Taxonomy Code332BC3200X
12882 MANCHESTER RD, Saint Louis, MO 63131
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Other Identifiers 1

Medicare NSC6764900001

Other Providers at the Same Location NPPES 3

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

FAMILY HIRE LLC
In Home Supportive Care
12882 MANCHESTER RD, STE 201
SAINT LOUIS, MO 63131
St. Louis County (314) 686-4466
SYLVIA SUE BANE-MALTA LCSW
Social Worker (Clinical)
12882 MANCHESTER RD, SUITE 201
SAINT LOUIS, MO 63131
St. Louis County (314) 863-9912
MS. ALEEZA CARI GRANOTE LCSW
Social Worker (Clinical)
12882 MANCHESTER RD, SUITE 201
SAINT LOUIS, MO 63131
St. Louis County (314) 863-9912

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 Missouri Custom Orthotics LLC's NPI number?

The NPI number for Missouri Custom Orthotics LLC is 1871832600. It was assigned to this organization in the NPPES registry on February 14, 2013.

Where is Missouri Custom Orthotics LLC located?

Missouri Custom Orthotics LLC is located at 12882 Manchester Rd Ste. 204, Saint Louis, MO 63131. The listed phone number is (314) 821-2600.

What is Missouri 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 Missouri Custom Orthotics LLC was last updated on July 10, 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.