Active NPI
Shelton Prosthetics and Orthotics
- Prosthetist
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- Legal business name
- SHELTON PROSTHETICS AND ORTHOTICS
- Practice address
- 2800 Ashton Dr
201
Wilmington, NC 28412-2575 - Phone
- (910) 520-0163
- NPI assigned
- Nov 19, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Southall Shelton, C.P.O
- Title
- Prosthetist/Orthotist
- Phone
- (910) 520-0163
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | |||
| Prosthetist | 224P00000X | Primary |
Addresses
Primary practice location
2800 Ashton Dr
201
Wilmington, NC 28412-2575
Mailing address
617 Colonial Dr
Wilmington, NC 28403-0217
Phone (910) 520-0163
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170804003086 | NC | DME Supplier - Orthotic Personnel | 0648541987 | Practice locations: Wilmington, NC |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Shelton Prosthetics and Orthotics | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
2800 Ashton Dr
Ste 201
Wilmington, NC 28412
Phone (910) 218-2240
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthotist
- Wilmington, NC
- NPI 1760533491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1448928000000",
"number": "1033583653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "617 COLONIAL DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284030217",
"telephone_number": "910-520-0163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 ASHTON DR",
"address_2": "201",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284122575",
"telephone_number": "910-520-0163"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHELTON PROSTHETICS AND ORTHOTICS",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-19",
"last_updated": "2015-12-01",
"status": "A",
"authorized_official_last_name": "SHELTON",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "SOUTHALL",
"authorized_official_title_or_position": "PROSTHETIST/ORTHOTIST",
"authorized_official_telephone_number": "910-520-0163",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "C.P.O"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.