Active NPI
Jason Ralph Riffle, C.P.
- Prosthetist
- Charlotte, NC
National Provider Identifier
1003065368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- Practice address
- 3707 Latrobe Dr Ste 430
Charlotte, NC 28211-1361 - Phone
- (704) 375-2587
- Fax
- (704) 333-4429
- NPI assigned
- Sep 11, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | 318 | TX | |
| Prosthetist | 224P00000X | Primary |
Addresses
Primary practice location
3707 Latrobe Dr Ste 430
Charlotte, NC 28211-1361
Mailing address
3707 Latrobe Dr Ste 430
Charlotte, NC 28211-1361
Phone (704) 375-2587
Other practice location 1
1114 Mill St
Camden, SC 29020-3712
Phone (803) 787-6911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 318 | TX | MD | Prosthetics Case Management |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| W.T. Hinnant Artificial Limb Co | Prosthetist | Current | Accepting new patients |
| W.T. Hinnant Artificial Limb Co | Prosthetist | Current | Accepting new patients |
Locations
3707 Latrobe Dr
Ste 430
Charlotte, NC 28211
Phone (704) 375-2587
120 E Kingston Ave
Charlotte, NC 28203
Phone (704) 375-2587
1114 Mill St
Camden, SC 29020
Phone (803) 432-1147
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1003065368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3707 LATROBE DR STE 430",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111361",
"telephone_number": "704-375-2587",
"fax_number": "704-333-4429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3707 LATROBE DR STE 430",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111361",
"telephone_number": "704-375-2587",
"fax_number": "704-333-4429"
}
],
"practiceLocations": [
{
"address_1": "1114 Mill St",
"address_purpose": "LOCATION",
"city": "Camden",
"state": "SC",
"postal_code": "290203712",
"country_code": "US",
"telephone_number": "803-787-6911",
"fax_number": "704-333-4429",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIFFLE",
"first_name": "JASON",
"middle_name": "RALPH",
"name_prefix": "Mr.",
"credential": "C.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-11",
"last_updated": "2023-03-07",
"certification_date": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "TX",
"license": "318",
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.