Individual provider Active NPI

Edward Curtis Garrett III, CONTRACTOR - CLASS C

  • Home Modifications Contractor
  • Nathalie, VA
National Provider Identifier
1407176357
Registry record updated Jun 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
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, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.