NPIMap

Organization Active NPI

Unc Health Prosthetics and Orthotics, LLC

  • Customized Equipment (DME)
  • Chapel Hill, NC
National Provider Identifier
1316629777
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
UNC HEALTH PROSTHETICS AND ORTHOTICS, LLC
Doing business as
UNC HEALTH PROSTHETICS AND ORTHOTICS, LLC
Practice address
1807 Fordham Blvd
Chapel Hill, NC 27514-2200
Phone
(984) 974-9714
Fax
(984) 215-5817
NPI assigned
Aug 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Authorized official

Name
Joshua Jacob Alexander, MD
Title
Board Chair
Phone
(984) 974-9747

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
OrthotistGroup: 193200000X MULTI-SPECIALTY GROUP 222Z00000X
ProsthetistGroup: 193200000X MULTI-SPECIALTY GROUP 224P00000X
Orthotic FitterGroup: 193200000X MULTI-SPECIALTY GROUP 225000000X
Durable Medical Equipment & Medical Supplies 332B00000X
Customized Equipment (DME) 332BC3200X Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

1807 Fordham Blvd
Chapel Hill, NC 27514-2200

Mailing address

1807 Fordham Blvd
Chapel Hill, NC 27514-2200
Phone (984) 974-9714

Other names 1

  • UNC HEALTH PROSTHETICS AND ORTHOTICS, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240627001676 NC DME Supplier - Medical Supply Company With Orthotic-Prosthetic 2668845843 Practice locations: Chapel Hill, NC

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Unc Health Prosthetics and Orthotic1807 Fordham Blvd, Chapel Hill, NC 27514-2200(984) 974-9714 Canes and/or Crutches|Walkers|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Accepts assignmentParticipating since Jul 25, 2022

National Provider Directory

National Provider Directory
Tax ID family
Unc Health Prosthetics and Orthotics LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1316629777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 FORDHAM BLVD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142200",
            "telephone_number": "984-974-9714",
            "fax_number": "984-215-5817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 FORDHAM BLVD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142200",
            "telephone_number": "984-974-9714",
            "fax_number": "984-215-5817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNC HEALTH PROSTHETICS AND ORTHOTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "BOARD CHAIR",
        "authorized_official_telephone_number": "984-974-9747",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNC HEALTH PROSTHETICS AND ORTHOTICS, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.