Pedorthic Technologies Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PEDORTHIC TECHNOLOGIES INC

Practice address

285 Park Ave
Cranston, RI 02905-1241

Phone

(401) 780-0590

Fax

(401) 780-0591

NPI assigned

Dec 23, 2006

Last updated

Nov 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eric Palmer

Title

Owner President

Phone

(401) 780-0590

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

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

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

{
    "created_epoch": "1166832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1093870743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 PARK AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029051241",
            "telephone_number": "401-780-0590",
            "fax_number": "401-780-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 PARK AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029051241",
            "telephone_number": "401-780-0590",
            "fax_number": "401-780-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDORTHIC TECHNOLOGIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-23",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "401-780-0590"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorca Paulino, BACHELORS
• Robert Pearlman, P-C.
• Pediatric Dentistry, LTD.
• Pediatric Endocrinology of Rhode Island
• Pediatrics and Pediatric Nephrology
• Henrique T Pedro, RPH
• Lorraine Pedro, LCSW
• Victor M Pedro, D.C
• Victoria Margaret Peixoto, PTA
• John A Pella, MD

• Durable Medical Equipment & Medical Supplies in Cranston, RI
• Providers in Cranston, RI by specialty
• Durable Medical Equipment & Medical Supplies in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.