Delaby Brace & Limb Co Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

DELABY BRACE & LIMB CO INC

Doing business as

Delaby Brace & Limb Co Inc

Practice address

218 Lisbon St
Clinton, NC 28328-4115

Phone

(910) 299-0100

Fax

(910) 299-0101

NPI assigned

Oct 10, 2006

Last updated

Jun 26, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dawn B. Benner, CPO, C.PEDNPI 1851501696

Title

President

Phone

(910) 299-0100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Delaby Brace & Limb Co Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

Locations

Practitioners 2

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.

• Dawn B. Benner, CPO,C.PED

  • Prosthetist
  • Clinton, NC
  • NPI 1851501696

  Orthotist

  NPD Authorized official
• David B. Benner, CPO,C.PED

  • Prosthetist
  • Clinton, NC
  • NPI 1821208661

  Orthotist

  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435276800000",
    "number": "1356439814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 LISBON ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283284115",
            "telephone_number": "910-299-0100",
            "fax_number": "910-299-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 LISBON ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283284115",
            "telephone_number": "910-299-0100",
            "fax_number": "910-299-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELABY BRACE & LIMB CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2015-06-26",
        "status": "A",
        "authorized_official_last_name": "BENNER",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-299-0100",
        "authorized_official_credential": "CPO, C.PED"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7700007",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delaby Brace & Limb Co Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyssa Nicole Davis, PHARMD, RPH
• Samuel Isaiah Davis
• Mason Zachary Day, DO
• Jay De Vera
• Beverly Jeanne Degrandchamp, ARNP
• Dermone
• Devine Home Care
• Devine Home Care
• Directed Path Life Services Inc
• Discovering the Roots Counseling Services, PLLC

• Prosthetic/Orthotic Supplier in Clinton, NC
• Providers in Clinton, NC by specialty
• Prosthetic/Orthotic Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.