OrganizationActive
Pedorthic Footcare of Oklahoma
NPI 1093080905 · Prosthetic/Orthotic Supplier · Oklahoma City, OK
Pedorthic Footcare of Oklahoma is a Prosthetic/Orthotic Supplier organization in Oklahoma City, OK (NPI 1093080905).
Provider details
- NPI number
- 1093080905
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Kevin Jaeger, Certified & Licensed Pedorthist(405) 924-7306
- License
- 84 (OK)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5100 N Brookline Ave Ste 330
Oklahoma City, OK 73112-3603
Phone: (405) 924-7306
Fax: (405) 600-7287
Street-level locationGet directions
Mailing address
5100 N Brookline Ave Ste 330
Oklahoma City, OK 73112-3603
Registry dates
- Enumerated
- 2012-03-12
- Last updated
- 2012-04-12
Frequently asked questions
- What is Pedorthic Footcare of Oklahoma's NPI number?
- Pedorthic Footcare of Oklahoma's National Provider Identifier (NPI) is 1093080905, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pedorthic Footcare of Oklahoma?
- Pedorthic Footcare of Oklahoma is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Pedorthic Footcare of Oklahoma located?
- Pedorthic Footcare of Oklahoma's practice location on file with NPPES is 5100 N Brookline Ave Ste 330, Oklahoma City, OK 73112-3603.
- What is Pedorthic Footcare of Oklahoma's phone number?
- The practice phone number listed in the NPPES registry for Pedorthic Footcare of Oklahoma is (405) 924-7306.
- Who is the authorized official for Pedorthic Footcare of Oklahoma?
- The authorized official listed on Pedorthic Footcare of Oklahoma's NPPES record is Kevin Jaeger, Certified & Licensed Pedorthist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pedorthic Footcare of Oklahoma's NPI active?
- Yes — Pedorthic Footcare of Oklahoma's NPI (1093080905) is active in the NPPES registry as of the last update on 2012-04-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.