Organization Active NPI

Specialized Orthopaedic Services

  • Customized Equipment (DME)
  • Virginia Beach, VA
National Provider Identifier
1093802415
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
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

Updated by the provider on Sep 23, 2008

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Specialized Orthopaedic Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.