Organization
ORTHODYNAMICS COMPANY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW L GIGANTE (PRESIDENT & CEO)
(800) 497-9107
Entity
Organization
Contact information
Practice address
155 CAREY DR, NOBLESVILLE, IN 46060-1302
(800) 497-9107
(317) 774-0146
Mailing address
155 CAREY DR, NOBLESVILLE, IN 46060-1302
(800) 497-9107
(317) 774-0146
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0007066856
IN
332BC3200X
Customized Equipment (DME)
0007066856
IN
335E00000X
Prosthetic/Orthotic Supplier
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000097460
ANTHEM PROVIDER NUMBER
IN
01
—
0005562645
AETNA PROVIDER NUMBER
IN
05
—
003223762A
—
GA
05
—
00423135
—
NC
05
—
05570576
—
NY
05
—
0639486
—
NJ
05
—
10028881000
—
NE
01
—
1023695
ACM PROVIDER NUMBER
IN
05
—
102394927
—
PA
05
—
108958400
—
FL
05
—
1457310492
—
ID
05
—
1457310492
—
MN
05
—
1457310492
—
VA
05
—
1457310492
—
WI
05
—
1457310492
—
WV
05
—
1494866
—
ND
05
—
1739283
—
AK
05
—
200014083
—
MS
05
—
201305850A
—
OK
05
—
2223251
—
WA
05
—
232960
—
AL
05
—
2503615
—
OH
05
—
250693328
—
DE
05
—
258225200
—
MD
05
—
300015837
—
IN
05
—
30004997060001
—
KS
05
—
346605
—
AZ
05
—
3938596
—
LA
05
—
403296301
—
TX
05
—
4115233
—
UT
05
—
500823909
—
OR
05
—
68589328
—
NM
01
—
80713
NPN PROVIDER NUMBER
IN
05
—
90012212
—
KY
01
—
ACS129561000
US DOL PROVIDER NUMBER
IN
01
—
C34913
HUMANA PROVIDER NUMBER
IN
05
—
DM1703
—
SC
01
—
IN1859
HEALTHNET PROVIDER NUMBER
IN
01
—
IN4658
IDTF PTAN
—
05
—
Q065153
—
TN
05
—
VS0055862
—
MI
Enumeration date
03/20/2006
Last updated
12/16/2025
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