North Carolina Orthotics & Prosthetics

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

NORTH CAROLINA ORTHOTICS & PROSTHETICS

Practice address

2717 Leighton Ridge Dr
Suite 100
Wake Forest, NC 27587-5987

Phone

(919) 556-3402

Fax

(919) 556-1877

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Cindy Johncour

Title

Owner

Phone

(919) 556-3402

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Mark Fordham, CP

  • Prosthetist
  • Henderson, NC
  • NPI 1992902266
  NPD (past)
• Dennis F Hodges, CPO

  • Prosthetist
  • Raleigh, NC
  • NPI 1568054740
  NPD (past)

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534204800000",
    "number": "1063556983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 LEIGHTON RIDGE DR",
            "address_2": "SUITE 100",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875987",
            "telephone_number": "919-556-3402",
            "fax_number": "919-556-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 LEIGHTON RIDGE DR",
            "address_2": "SUITE 100",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875987",
            "telephone_number": "919-556-3402",
            "fax_number": "919-556-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CAROLINA ORTHOTICS & PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2018-08-14",
        "status": "A",
        "authorized_official_last_name": "JOHNCOUR",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-556-3402"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7705064",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Kaleigh Norman, PA-C
• Hilary Leath Norris, LCSW
• North Carolina CVS Pharmacy LLC
• North Carolina CVS Pharmacy LLC
• North Carolina Nephrology PA
• Elizabeth Irene Norton, PA
• Nova Care
• Novant Health Medical Group, LLC
• Novant Health Medical Group, LLC
• Novant Medical Group, Inc

• All providers in Wake Forest, NC
• Prosthetic/Orthotic Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.