Active NPI
Dale Macarthur Kingsbury, CO
- Prosthetics Case Management
- Anderson, SC
National Provider Identifier
1235575192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- Practice address
- 1113 N Fant St
Anderson, SC 29621-4819 - Phone
- (864) 225-1683
- Fax
- (864) 231-7374
- NPI assigned
- May 20, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | Primary |
Addresses
Primary practice location
1113 N Fant St
Anderson, SC 29621-4819
Mailing address
1113 N Fant St
Anderson, SC 29621-4819
Phone (864) 225-1683
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245288745 | Medicaid | SC |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anderson Prosthetics & Orthotics LLC | Past | Accepting new patients | |
| Anderson Prosthetics & Orthotics, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Prosthetic/Orthotic Supplier
- Greenville, SC
- NPI 1285890574
-
- Prosthetic/Orthotic Supplier
- Anderson, SC
- NPI 1245288745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369008000000",
"number": "1235575192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1113 N FANT ST",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296214819",
"telephone_number": "864-225-1683",
"fax_number": "864-231-7374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1113 N FANT ST",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296214819",
"telephone_number": "864-225-1683",
"fax_number": "864-231-7374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINGSBURY",
"first_name": "DALE",
"middle_name": "MACARTHUR",
"name_prefix": "Mr.",
"credential": "CO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-20",
"last_updated": "2013-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1245288745",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.