Active NPI
Specialized Orthopaedic Services
- Customized Equipment (DME)
- Virginia Beach, VA
National Provider Identifier
1093802415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- SPECIALIZED ORTHOPAEDIC SERVICES
- Practice address
- 4501 N Witchduck Rd
Suite C
Virginia Beach, VA 23455-6217 - Phone
- (757) 557-0050
- Fax
- (757) 557-0051
- NPI assigned
- Oct 6, 2006
- 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. Charles S Davis III, C.O.F.
- Title
- Branch Manager
- Phone
- (757) 557-0050
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | Primary |
Addresses
Primary practice location
4501 N Witchduck Rd
Suite C
Virginia Beach, VA 23455-6217
Mailing address
4501 N Witchduck Rd
Suite C
Virginia Beach, VA 23455-6217
Phone (757) 557-0050
Other names 1
- SPECIALIZED
National Provider Directory
National Provider Directory- Tax ID family
- Specialized Orthopaedic Services
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Springfield, VA
- NPI 1902697790
-
- Prosthetic/Orthotic Supplier
- Vienna, VA
- NPI 1962413765
Locations
4501 N Witchduck Rd
Ste C
Virginia Beach, VA 23455
Phone (757) 778-5247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222128000000",
"number": "1093802415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4501 N WITCHDUCK RD",
"address_2": "SUITE C",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234556217",
"telephone_number": "757-557-0050",
"fax_number": "757-557-0051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4501 N WITCHDUCK RD",
"address_2": "SUITE C",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234556217",
"telephone_number": "757-557-0050",
"fax_number": "757-557-0051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECIALIZED ORTHOPAEDIC SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-06",
"last_updated": "2008-09-23",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "BRANCH MANAGER",
"authorized_official_telephone_number": "757-557-0050",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "C.O.F."
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SPECIALIZED",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.