Active NPI
Jan Saunders
- Prosthetist
- Winston Salem, NC
National Provider Identifier
1356798367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- Practice address
- 2534 Empire Dr
Winston Salem, NC 27103-6710 - Phone
- (336) 397-2165
- Fax
- (336) 397-2167
- NPI assigned
- May 19, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | |||
| Prosthetist | 224P00000X | Primary |
Addresses
Primary practice location
2534 Empire Dr
Winston Salem, NC 27103-6710
Mailing address
2534 Empire Dr
Winston Salem, NC 27103-6710
Phone (336) 397-2165
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463616000000",
"number": "1356798367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2534 EMPIRE DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271036710",
"telephone_number": "336-397-2165",
"fax_number": "336-397-2167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2534 EMPIRE DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271036710",
"telephone_number": "336-397-2165",
"fax_number": "336-397-2167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAUNDERS",
"first_name": "JAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-19",
"last_updated": "2016-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.