Active NPI
Edward Curtis Garrett III, CONTRACTOR - CLASS C
- Home Modifications Contractor
- Nathalie, VA
National Provider Identifier
1407176357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- Practice address
- 2175 Volens Road
Nathalie, VA 24577 - Phone
- (434) 941-1158
- Fax
- (434) 349-6514
- NPI assigned
- Jun 2, 2010
- Last updated
- Jun 2, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | NU | Primary | |
| Vehicle Modifications Contractor | 171WV0202X | NU |
Addresses
Primary practice location
2175 Volens Road
Nathalie, VA 24577
Mailing address
2175 Volens Road
Nathalie, VA 24577
Phone (434) 941-1158
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": "1275436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275436800000",
"number": "1407176357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2175 VOLENS ROAD",
"city": "NATHALIE",
"state": "VA",
"postal_code": "24577",
"telephone_number": "434-941-1158",
"fax_number": "434-349-6514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2175 VOLENS ROAD",
"city": "NATHALIE",
"state": "VA",
"postal_code": "24577",
"telephone_number": "434-941-1158",
"fax_number": "434-349-6514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRETT",
"first_name": "EDWARD",
"middle_name": "CURTIS",
"name_suffix": "III",
"credential": "CONTRACTOR - CLASS C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-02",
"last_updated": "2010-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "171WV0202X",
"taxonomy_group": "",
"desc": "Contractor, Vehicle Modifications",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nathalie, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.