Organization Active NPI

Prosthetic Orthotic Care Center,Inc

  • Prosthetic/Orthotic Supplier
  • Matthews, NC
National Provider Identifier
1275616211
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
PROSTHETIC ORTHOTIC CARE CENTER,INC
Practice address
1352 Matthews Township Pkwy Ste 101
Matthews, NC 28105-4985
Phone
(704) 841-4388
Fax
(704) 849-7727
NPI assigned
Oct 23, 2006
Last updated
Mar 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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

Authorized official

Name
Mr. Larry William Morton, CPONPI 1861729782
Title
President
Phone
(704) 841-4388

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 1

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

Addresses

Primary practice location

1352 Matthews Township Pkwy Ste 101
Matthews, NC 28105-4985

Mailing address

1352 Matthews Township Pkwy Ste 101
Matthews, NC 28105-4985
Phone (704) 841-4388

Other identifiers 1

IdentifierTypeStateIssuer
7701190MedicaidNC

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, 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": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1275616211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1352 MATTHEWS TOWNSHIP PKWY STE 101",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281054985",
            "telephone_number": "704-841-4388",
            "fax_number": "704-849-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1352 MATTHEWS TOWNSHIP PKWY STE 101",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281054985",
            "telephone_number": "704-841-4388",
            "fax_number": "704-849-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHETIC ORTHOTIC CARE CENTER,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "MORTON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-841-4388",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7701190",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; 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.