Individual provider Active NPI

Chukwuemeka Nwakamma Njoku

  • Orthotic Fitter
  • Raleigh, NC
National Provider Identifier
1285964395
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthotic FitterTaxonomy code 225000000X
License
CFTS0989 Issued in NC
Practice address
100 E Six Forks Rd
Suite 130
Raleigh, NC 27609-7752
Phone
(919) 881-8210
Fax
(919) 784-9498
NPI assigned
Jan 12, 2010
Last updated
Jan 12, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotic Fitter 225000000X CFTS0989 NC Primary

Addresses

Primary practice location

100 E Six Forks Rd
Suite 130
Raleigh, NC 27609-7752

Mailing address

100 E Six Forks Rd
Suite 130
Raleigh, NC 27609-7752
Phone (919) 881-8210

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

State licenses

LicenseStateTypeSpecialty
CFTS0989NCMDOrthotic Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Staffing Inc Current Accepting new patients
Pacific Medical Equipment Supply Inc Past Accepting new patients

Locations

100 E Six Forks Rd
Ste 130
Raleigh, NC 27609
Phone (919) 881-8210

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263254400000",
    "number": "1285964395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E SIX FORKS RD",
            "address_2": "SUITE 130",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097752",
            "telephone_number": "919-881-8210",
            "fax_number": "919-784-9498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E SIX FORKS RD",
            "address_2": "SUITE 130",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097752",
            "telephone_number": "919-881-8210",
            "fax_number": "919-784-9498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NJOKU",
        "first_name": "CHUKWUEMEKA",
        "middle_name": "NWAKAMMA",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-12",
        "last_updated": "2010-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "NC",
            "license": "CFTS0989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; 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.