Sole Dimensions LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SOLE DIMENSIONS LLC

Practice address

10405 Ligon Mill Rd Ste B
Wake Forest, NC 27587-5013

Phone

(919) 424-6796

Fax

(800) 891-5542

NPI assigned

Jun 2, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Eleanor Penner, C. PED

Title

Owner

Phone

(919) 424-6796

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1235459256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 SOUTHTOWN CIR # 14",
            "city": "ROLESVILLE",
            "state": "NC",
            "postal_code": "275719573",
            "telephone_number": "919-424-6796",
            "fax_number": "800-891-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10405 LIGON MILL RD STE B",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875013",
            "telephone_number": "919-424-6796",
            "fax_number": "800-891-5542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLE DIMENSIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-02",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "PENNER",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-424-6796",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "C. PED"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Prosthetic/Orthotic Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.