North Carolina Orthotics & Prosthetics of Rocky Mount, Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

NORTH CAROLINA ORTHOTICS & PROSTHETICS OF ROCKY MOUNT, INC

Practice address

3721 Sunset Ave
Rocky Mount, NC 27804-3327

Phone

(252) 210-3472

Fax

(252) 210-3473

NPI assigned

Jun 30, 2011

Organization subpart

No

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

Authorized official

Name

Cindy Johncour

Title

Owner

Phone

(919) 556-3402

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Fordham, CP

  • Prosthetist
  • Henderson, NC
  • NPI 1992902266
  NPD (past)
• Dennis F Hodges, CPO

  • Prosthetist
  • Raleigh, NC
  • NPI 1568054740
  NPD (past)
• Bengt Walker, LCO

  • Orthotist
  • Olympia, WA
  • NPI 1609142777
  NPD (past)

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534204800000",
    "number": "1376830273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 LEIGHTON RIDGE DR",
            "address_2": "STE100",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875987",
            "telephone_number": "252-535-0077",
            "fax_number": "252-535-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 SUNSET AVE",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043327",
            "telephone_number": "252-210-3472",
            "fax_number": "252-210-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CAROLINA ORTHOTICS & PROSTHETICS OF ROCKY MOUNT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-30",
        "last_updated": "2018-08-14",
        "status": "A",
        "authorized_official_last_name": "JOHNCOUR",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-556-3402"
    },
    "taxonomies": [
        {
            "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": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7705385",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nyisa Lawanda Nobles
• North Carolina CVS Pharmacy LLC
• North Carolina CVS Pharmacy LLC
• North Carolina CVS Pharmacy LLC
• North Carolina Inpatient Medicine Associates, PLLC
• Northeastern Dermatology PLLC
• Valerie Northrup, PMHNP-BC
• Northside Family Pharmacy Inc
• Northside Family Plaza Pharmacy Inc
• Now Delivery Services LLC

• Customized Equipment (DME) in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Customized Equipment (DME) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.