Active NPI
Kevin A Wicker, CPO
- Prosthetist
- Morganton, NC
National Provider Identifier
1457567752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- Practice address
- 1603 S Sterling St
Morganton, NC 28655-4097 - Phone
- (828) 391-5164
- Fax
- (828) 391-5011
- NPI assigned
- May 15, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthotist | 222Z00000X | |||
| Prosthetist | 224P00000X | Primary |
Addresses
Primary practice location
1603 S Sterling St
Morganton, NC 28655-4097
Mailing address
1603 S Sterling St
Morganton, NC 28655-4097
Phone (828) 391-5164
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foothills Prosthetics LLC | Orthotist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494201600000",
"number": "1457567752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1603 S STERLING ST",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286554097",
"telephone_number": "828-391-5164",
"fax_number": "828-391-5011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1603 S STERLING ST",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286554097",
"telephone_number": "828-391-5164",
"fax_number": "828-391-5011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WICKER",
"first_name": "KEVIN",
"middle_name": "A",
"credential": "CPO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2017-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morganton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.