Active NPI
Alisha Mathis
- Prosthetics Case Management
- Concord, NC
National Provider Identifier
1083185490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- 7080
- Practice address
- 795 Concord Pkwy N
Concord, NC 28027-0008 - Phone
- (704) 224-1834
- NPI assigned
- Dec 10, 2018
- Last updated
- Dec 10, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | 7080 | NC | Primary |
Addresses
Primary practice location
795 Concord Pkwy N
Concord, NC 28027-0008
Mailing address
1704 Inspired Way
Kannapolis, NC 28083-6680
Phone (704) 224-1834
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7080 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544400000000",
"number": "1083185490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1704 INSPIRED WAY",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280836680",
"telephone_number": "704-224-1834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "795 CONCORD PKWY N",
"city": "CONCORD",
"state": "NC",
"postal_code": "280270008",
"telephone_number": "704-224-1834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHIS",
"first_name": "ALISHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-10",
"last_updated": "2018-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "NC",
"license": "7080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.