NPIMap

Organization Active NPI

Advanced Prosthetics Inc.

  • Prosthetic/Orthotic Supplier
  • Greenville, SC
National Provider Identifier
1033355805
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
19076 Issued in SC
Legal business name
ADVANCED PROSTHETICS INC.
Practice address
6 Old Grove Rd
Greenville, SC 29605-4769
Phone
(864) 552-9772
Fax
(864) 552-9773
NPI assigned
Dec 30, 2008
Last updated
May 4, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVANCED PROSTHETICS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Authorized official

Name
Carol Baker
Title
Dir. of HR
Phone
(864) 622-0900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Prosthetic/Orthotic Supplier 335E00000X 19076 SC Primary

Addresses

Primary practice location

6 Old Grove Rd
Greenville, SC 29605-4769

Mailing address

6 Old Grove Rd
Greenville, SC 29605-4769
Phone (864) 552-9772

Other identifiers 1

IdentifierTypeStateIssuer
DE3391MedicaidSC

National Provider Directory

National Provider Directory
Part of
Advanced Prosthetics Inc

Locations

6 Old Grove Rd
Greenville, SC 29605
Phone (864) 242-6374

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1033355805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 OLD GROVE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054769",
            "telephone_number": "864-552-9772",
            "fax_number": "864-552-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 OLD GROVE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054769",
            "telephone_number": "864-552-9772",
            "fax_number": "864-552-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PROSTHETICS INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED PROSTHETICS, INC",
        "enumeration_date": "2008-12-30",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "DIR. OF HR",
        "authorized_official_telephone_number": "864-622-0900"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "SC",
            "license": "19076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE3391",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.