Triad Orthotics & Prosthetics

Key facts

NPI: 1124209747
Entity type: Organization (NPI type 2)
Primary specialty: Prosthetic/Orthotic Supplier 335E00000X
Legal business name: TRIAD ORTHOTICS & PROSTHETICS
Practice address: 560 Malcolm Blvd Ste C
Connelly Springs, NC 28612-7918
Phone: (828) 327-8777
Fax: (828) 327-8771
NPI assigned: Nov 26, 2007
Organization subpart: No

Authorized official

Name: Mr. Randy Alan King, C.P.O.
Title: Owner
Phone: (828) 327-8777

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Randy Alan King, C.P.O. Prosthetic/Orthotic Supplier · Hickory, NC · NPI 1184737173

NPD DURABLE MEDICAL EQUIPMENT & MEDICAL SUPPLIES

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Supplier	Supplies	Medicare assignment
Triad Orthotics and Prosthetics 560 Malcolm Blvd, Connelly Springs, NC 28612-7918 · (828) 327-8777	Orthoses: Custom Fabricated\|Orthoses: Prefabricated (Non-Custom Fabricated)\|Orthoses: Off-The-Shelf\|Limb Prostheses\|Lymphedema Compression Treatment Items	Accepts assignment Participating since Jan 1, 2010

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NC

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20100930005223	NC	DME Supplier - Orthotic Personnel DME Supplier - Prosthetic Personnel	5991908279	Practice locations: Connelly Springs, NC

National Provider Directory

Locations

560 Malcolm Blvd
Ste C
Connelly Springs, NC 28612
Phone (828) 327-8777

1065 13th St SE
Hickory, NC 28602
Phone (828) 327-8777

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Prosthetic/Orthotic Supplier	335E00000X			Yes

Addresses

Primary practice location

560 Malcolm Blvd Ste C
Connelly Springs, NC 28612-7918

Mailing address

PO Box 833
Rutherford College, NC 28671-0833
Phone (828) 327-8777

Other identifiers

Identifier	Type	State	Issuer
7704624	Medicaid	NC

Other providers in Connelly Springs, NC

All providers in Connelly Springs, NC · Prosthetic/Orthotic Supplier in North Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2026. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (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.