Individual provider Active NPI

Cody A Smith, CPO

  • Prosthetist
  • Charlotte, NC
National Provider Identifier
1245749969
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
CPO04189
Practice address
309 S Sharon Amity Rd Ste 104
Charlotte, NC 28211-2886
Phone
(704) 372-7660
Fax
(704) 372-7659
NPI assigned
Sep 26, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X CO005798
Prosthetist 224P00000X CPO04189 Primary

Addresses

Primary practice location

309 S Sharon Amity Rd Ste 104
Charlotte, NC 28211-2886

Mailing address

660 W Lincoln Hwy
Exton, PA 19341-2514

Other practice location 1

3 Walden Ridge Dr Ste 400
Asheville, NC 28803-8587
Phone (828) 252-0331

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

OrganizationSpecialtyStatusNew patients
Asheville Orthotic Prosthetic Center LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1245749969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 W LINCOLN HWY",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 S SHARON AMITY RD STE 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112886",
            "telephone_number": "704-372-7660",
            "fax_number": "704-372-7659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Walden Ridge Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288038587",
            "country_code": "US",
            "telephone_number": "828-252-0331",
            "fax_number": "828-252-9764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CODY",
        "middle_name": "A",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-26",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": "CO005798",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": "CPO04189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.