South Coast Orthopedic Technology

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SOUTH COAST ORTHOPEDIC TECHNOLOGY

Practice address

535 Faunce Corner Rd
Suite 201
N Dartmouth, MA 02747-1242

Phone

(508) 998-7268

Fax

(508) 998-7267

NPI assigned

Sep 25, 2007

Organization subpart

No

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

Authorized official

Name

Randy Scott Penney, CPONPI 1669545539

Title

President

Phone

(508) 998-7268

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randy Scott Penney, CPD

  • Orthotist
  • New Benford, MA
  • NPI 1669545539
  NPD Authorized official

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267747200000",
    "number": "1023205853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 FAUNCE CORNER RD",
            "address_2": "SUITE 201",
            "city": "N DARTMOUTH",
            "state": "MA",
            "postal_code": "027471242",
            "telephone_number": "508-998-7268",
            "fax_number": "508-998-7267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 FAUNCE CORNER RD",
            "address_2": "SUITE 201",
            "city": "N DARTMOUTH",
            "state": "MA",
            "postal_code": "027471242",
            "telephone_number": "508-998-7268",
            "fax_number": "508-998-7267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COAST ORTHOPEDIC TECHNOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2010-03-05",
        "status": "A",
        "authorized_official_last_name": "PENNEY",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-998-7268",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528866",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "401154",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "811333",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prime Medical Sleep Center
• Kevin W Quinn, DMD
• Amanda Maria Raposo, PMHNP-BC
• Jessica Raposo, C.O.T.A.
• Sleep Health Centers LLC
• Wendy Stacy
• Lori B Stanovitch
• Jeremy Ben Stern, MD
• Nicole Hughes Talbot, COTA/L
• Johnny Tang, MD

• Prosthetic/Orthotic Supplier in N Dartmouth, MA
• Providers in N Dartmouth, MA by specialty
• Prosthetic/Orthotic Supplier in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.