Carolina Pedorthic, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CAROLINA PEDORTHIC, LLC

Practice address

1000 N Pine St
Suite 19
Spartanburg, SC 29303-3151

Phone

(864) 583-4456

Fax

(864) 582-2728

NPI assigned

Dec 17, 2008

Organization subpart

No

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

Authorized official

Name

Mr. John Mark Rogers, PEDORTHISTNPI 1306944392

Title

Owner

Phone

(864) 583-4456

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John M Rogers, C.PED.

  • Orthotic Fitter
  • Spartanburg, SC
  • NPI 1306944392
  NPD Authorized official

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1447496716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N PINE ST",
            "address_2": "SUITE 19",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033151",
            "telephone_number": "864-583-4456",
            "fax_number": "864-582-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N PINE ST",
            "address_2": "SUITE 19",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033151",
            "telephone_number": "864-583-4456",
            "fax_number": "864-582-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA PEDORTHIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-583-4456",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PEDORTHIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Neurology of Spartanburg
• Carolina Orthopaedic and Neurosurgical Associates
• Carolina Orthopaedic and Neurosurgical Associates
• Carolina Orthotics and Prosthetics LLC
• Carolina Pediatric Dentistry
• Carolina Physical Medicine and (CORE Health Centers-East Spartanburg)
• Carolina Physicians and Rehab, LLC
• Carolina Plastic Surgery PA
• Carolina Professional Staffing, Inc. (BrightStar Healthcare Spartanburg)
• Carolina Smiles, LLC

• Durable Medical Equipment & Medical Supplies in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.