NPIMap

Organization Active NPI

Orthopedic Appliance Co Inc

  • Customized Equipment (DME)
  • Hickory, NC
National Provider Identifier
1124404637
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
CPO00805 Issued in NC
Legal business name
ORTHOPEDIC APPLIANCE CO INC
Practice address
910 Tate Blvd SE Ste 103
Hickory, NC 28602-4030
Phone
(828) 254-6305
NPI assigned
Aug 6, 2015
Last updated
Oct 31, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ORTHOPEDIC APPLIANCE COMPANY, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Authorized official

Name
Owen Aycock, COPNPI 1538492459
Title
Owner/Secretary/Treasure
Phone
(828) 254-6305

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X CPO00805 NC Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

910 Tate Blvd SE Ste 103
Hickory, NC 28602-4030

Mailing address

75 Victoria Rd
Asheville, NC 28801-4419
Phone (828) 254-6305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160526002573 NC DME Supplier - Medical Supply Company With Orthotic-Prosthetic 8729105549 Practice locations: Hickory, NC

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Orthopedic Appliance Co Inc910 Tate Blvd SE, Hickory, NC 28602-4030(828) 254-6305 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Breast Prostheses and/or Accessories|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Orthopedic Appliance Co Inc4 organizations share this tax ID, including this one
Part of
Orthopedic Appliance Co Inc

Other organizations with this tax ID 3

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

Locations

910 Tate Blvd SE
Ste 103
Hickory, NC 28602
Phone (828) 254-6305

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761868800000",
    "number": "1124404637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 VICTORIA RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014419",
            "telephone_number": "828-254-6305",
            "fax_number": "828-254-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 TATE BLVD SE STE 103",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024030",
            "telephone_number": "828-254-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC APPLIANCE CO INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOPEDIC APPLIANCE COMPANY, INC",
        "enumeration_date": "2015-08-06",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A",
        "authorized_official_last_name": "AYCOCK",
        "authorized_official_first_name": "OWEN",
        "authorized_official_title_or_position": "OWNER/SECRETARY/TREASURE",
        "authorized_official_telephone_number": "828-254-6305",
        "authorized_official_credential": "COP"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NC",
            "license": "CPO00805",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.