Triad Orthotics and Pedorthics Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TRIAD ORTHOTICS AND PEDORTHICS INC.

Practice address

2419 Lewisville Clemmons Rd
Suite 1
Clemmons, NC 27012-8976

Phone

(336) 712-4750

Fax

(336) 712-1056

NPI assigned

Aug 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Paul Andrew Mansfield, C.O. C. PED.NPI 1316142318

Title

Owner

Phone

(336) 712-4750

Specialties & licenses 2

Addresses

Other identifiers 7

Other names 1

• triad o&p Other name

Medicare fee-for-service enrollment

Enrolled in NC

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 2

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.

• Paul A Mansfield, C.O.,C.PED.

  • Prosthetic/Orthotic Supplier
  • Clemmons, NC
  • NPI 1316142318

  Durable Medical Equipment & Medical Supplies

  NPD Authorized official
• John T Lundquist, C.PED.

  • Durable Medical Equipment & Medical Supplies
  • Clemmons, NC
  • NPI 1972708980
  NPD (past)

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502409600000",
    "number": "1043328214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 LEWISVILLE CLEMMONS RD",
            "address_2": "SUITE 1",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128977",
            "telephone_number": "336-712-4750",
            "fax_number": "336-712-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2419 LEWISVILLE CLEMMONS RD",
            "address_2": "SUITE 1",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128976",
            "telephone_number": "336-712-4750",
            "fax_number": "336-712-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD ORTHOTICS AND PEDORTHICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2017-08-11",
        "status": "A",
        "authorized_official_last_name": "MANSFIELD",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-712-4750",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.O. C. PED."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "045Y8",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNER'S",
            "identifier": "802694",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7887369",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03093634",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DM1188",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010072336",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703603",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "triad o&p",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gina Toscano
• Town Center Vision Optometrists P.a.
• Donna C Trainer
• Triad Nurse Concierge PLLC
• Triad Ocular and Facial Plastic Surgery PLLC
• Triad Pediatric Eye Physicians PC
• Triad Surgical Arts PLLC
• Amelia Beck Trinkle
• Ishik C Tuna, M.D.
• Kirk A Turner, DDS

• Durable Medical Equipment & Medical Supplies in Clemmons, NC
• Providers in Clemmons, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2017; 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.