Organization Active NPI

MCR Inc of Columbia

  • Prosthetic/Orthotic Supplier
  • Irmo, SC
National Provider Identifier
1497803639
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
MCR INC OF COLUMBIA
Practice address
209 Laurent Way
Irmo, SC 29063-9545
Phone
(803) 960-0952
Fax
(803) 832-7972
NPI assigned
Jan 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Authorized official

Name
Mark Root
Title
Owner
Phone
(803) 960-0952

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

209 Laurent Way
Irmo, SC 29063-9545

Mailing address

209 Laurent Way
Irmo, SC 29063-9545
Phone (803) 960-0952

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1497803639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 LAURENT WAY",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290639545",
            "telephone_number": "803-960-0952",
            "fax_number": "803-832-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 LAURENT WAY",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290639545",
            "telephone_number": "803-960-0952",
            "fax_number": "803-832-7972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCR INC OF COLUMBIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-06",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "ROOT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-960-0952"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irmo, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.