Active NPI
John Rainey, CPED
- Pedorthist
- Raleigh, NC
National Provider Identifier
1114689155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pedorthist
- License
- CPED4184
- Practice address
- 3100 Duraleigh Rd Ste 207
Raleigh, NC 27612-8106 - Phone
- (984) 200-7950
- Fax
- (984) 200-8370
- NPI assigned
- Oct 7, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotic Fitter | 225000000X | NC | ||
| Pedorthist | 224L00000X | CPED4184 | VA | Primary |
| Orthotic Fitter | 225000000X | CFO04357 | VA |
Addresses
Primary practice location
3100 Duraleigh Rd Ste 207
Raleigh, NC 27612-8106
Mailing address
3100 Duraleigh Rd Ste 207
Raleigh, NC 27612-8106
Phone (984) 200-7950
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 |
|---|---|---|---|
| CPED4184 | VA | MD | Pedorthist |
| CFO04357 | VA | MD | Orthotic Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shivag Diabetic Shoes and Orthotics LLC | Current | Accepting new patients |
Locations
3100 Duraleigh Rd
Ste 207
Raleigh, NC 27612
Phone (984) 200-7950
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Customized Equipment (DME)
- Raleigh, NC
- NPI 1912465311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646870400000",
"number": "1114689155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 DURALEIGH RD STE 207",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276128106",
"telephone_number": "984-200-7950",
"fax_number": "984-200-8370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 DURALEIGH RD STE 207",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276128106",
"telephone_number": "984-200-7950",
"fax_number": "984-200-8370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAINEY",
"first_name": "JOHN",
"credential": "CPED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-07",
"last_updated": "2022-03-10",
"certification_date": "2022-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "224L00000X",
"taxonomy_group": "",
"desc": "Pedorthist",
"state": "VA",
"license": "CPED4184",
"primary": true
},
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": "VA",
"license": "CFO04357",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.