Active NPI
Jeff Wayne Sprinkle, CPO
- Orthotic Fitter
- Spartanburg, SC
National Provider Identifier
1376872192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotic Fitter
- Practice address
- 383 S Pine St
A
Spartanburg, SC 29302-2650 - Phone
- (864) 591-2242
- Fax
- (864) 591-2037
- NPI assigned
- Dec 8, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotic Fitter | 225000000X | Primary |
Addresses
Primary practice location
383 S Pine St
A
Spartanburg, SC 29302-2650
Mailing address
383 S Pine St
A
Spartanburg, SC 29302-2650
Phone (864) 591-2242
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13768721921 | Other | SC | INDIVIDUAL NPI NUMBER |
| DE2685 | Medicaid | SC | |
| 7795443 | Medicaid | NC |
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": "1260230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264464000000",
"number": "1376872192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "383 S PINE ST",
"address_2": "A",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293022650",
"telephone_number": "864-591-2242",
"fax_number": "864-591-2037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "383 S PINE ST",
"address_2": "A",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293022650",
"telephone_number": "864-591-2242",
"fax_number": "864-591-2037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRINKLE",
"first_name": "JEFF",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"credential": "CPO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-08",
"last_updated": "2010-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI NUMBER",
"identifier": "13768721921",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DE2685",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7795443",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.