Individual provider Active NPI

Roger Cleveland Homesley, CFO CFTS

  • Orthotic Fitter
  • Lincolnton, NC
National Provider Identifier
1114209111
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthotic FitterTaxonomy code 225000000X
License
CFO 03634 Issued in NC
Practice address
626 Center Dr
Lincolnton, NC 28092-3712
Phone
(704) 735-2556
Fax
(704) 735-9045
NPI assigned
Sep 15, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotic Fitter 225000000X CFO 03634 NC Primary
Orthotic Fitter 225000000X CFTS 1242 NC

Addresses

Primary practice location

626 Center Dr
Lincolnton, NC 28092-3712

Mailing address

PO Box 368
626 Center Drive
Lincolnton, NC 28093-0368
Phone (704) 735-2556

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

LicenseStateTypeSpecialty
CFO 03634NCMDOrthotic Fitter
CFTS 1242NCMDOrthotic Fitter

NPI Registry JSON

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1114209111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "address_2": "626 CENTER DRIVE",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280930368",
            "telephone_number": "704-735-2556",
            "fax_number": "704-735-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 CENTER DR",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923712",
            "telephone_number": "704-735-2556",
            "fax_number": "704-735-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMESLEY",
        "first_name": "ROGER",
        "middle_name": "CLEVELAND",
        "name_prefix": "Mr.",
        "credential": "CFO   CFTS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "NC",
            "license": "CFO 03634",
            "primary": true
        },
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "NC",
            "license": "CFTS 1242",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.