Organization Active NPI

Carolina Pedorthics Inc

  • Prosthetic/Orthotic Supplier
  • Tryon, NC
National Provider Identifier
1013235670
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
CAROLINA PEDORTHICS INC
Practice address
38 N.Trade St.
A
Tryon, NC 28782-6656
Phone
(828) 859-3089
Fax
(828) 859-9271
NPI assigned
May 6, 2010
Last updated
Jul 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Christopher Colonel Huffstetler, CO,CPED
Title
Owner
Phone
(828) 859-3089

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

38 N.Trade St.
A
Tryon, NC 28782-6656

Mailing address

38A N.Trade St.
Tryon, NC 28782-6656
Phone (828) 859-3089

Other identifiers 1

IdentifierTypeStateIssuer
7795449MedicaidNC

National Provider Directory

National Provider Directory

Locations

38 N Trade St
Tryon, NC 28782
Phone (828) 859-3089

38 N Trade St
#A
Tryon, NC 28782
Phone (828) 859-3089

38A N Trade St
Tryon, NC 28782

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1013235670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38A N.TRADE ST.",
            "city": "TRYON",
            "state": "NC",
            "postal_code": "287826656",
            "telephone_number": "828-859-3089",
            "fax_number": "828-859-9271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 N.TRADE ST.",
            "address_2": "A",
            "city": "TRYON",
            "state": "NC",
            "postal_code": "287826656",
            "telephone_number": "828-859-3089",
            "fax_number": "828-859-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA PEDORTHICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "HUFFSTETLER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "COLONEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-859-3089",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CO,CPED"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7795449",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tryon, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.