Organization Active NPI

Careplus Medical LLC

  • Prosthetic/Orthotic Supplier
  • Centreville, VA
National Provider Identifier
1174069322
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
CAREPLUS MEDICAL LLC
Practice address
5602 Oakham PL
Centreville, VA 20120-5214
Phone
(571) 318-9711
Fax
(844) 971-9711
NPI assigned
Jan 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Authorized official

Name
Sung ParkNPI 1154860104
Title
Manager/Member
Phone
(571) 230-2748

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X VA Primary

Addresses

Primary practice location

5602 Oakham PL
Centreville, VA 20120-5214

Mailing address

5602 Oakham PL
Centreville, VA 20120-5214
Phone (571) 318-9711

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1174069322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5602 OAKHAM PL",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201205214",
            "telephone_number": "571-318-9711",
            "fax_number": "844-971-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5602 OAKHAM PL",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201205214",
            "telephone_number": "571-318-9711",
            "fax_number": "844-971-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREPLUS MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-11",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SUNG",
        "authorized_official_title_or_position": "MANAGER/MEMBER",
        "authorized_official_telephone_number": "571-230-2748"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.