Carolina Orthotics & Prosthetics of MB LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

CAROLINA ORTHOTICS & PROSTHETICS OF MB LLC

Practice address

9714 N Kings Hwy Ste 142
Myrtle Beach, SC 29572-4047

Phone

(843) 497-9558

Fax

(843) 497-9130

NPI assigned

Apr 2, 2009

Organization subpart

No

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

Authorized official

Name

C. Ralph Hooper Jr., CPO

Title

Ceo

Phone

(843) 577-9577

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1508008715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3465 W MONTAGUE AVE STE 101",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "29418",
            "telephone_number": "843-577-9577",
            "fax_number": "843-577-9574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9714 N KINGS HWY STE 142",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724047",
            "telephone_number": "843-497-9558",
            "fax_number": "843-497-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA ORTHOTICS & PROSTHETICS OF MB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-02",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "HOOPER",
        "authorized_official_first_name": "C.",
        "authorized_official_middle_name": "RALPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-577-9577",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE3311",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Forest Imaging Center LLC
• Carolina Forest Urgent Care LLC
• Carolina Health and Recovery
• Carolina Health Pharmacy LLC
• Carolina Orthopaedic Specialists
• Carolina Orthotics & Prosthetics of Myrtle Beach LLC
• Carolina Orthotics and Prosthetics LLC
• Carolina Pain and Wellness Inc
• Carolina Pediatric Therapy
• Carolina Pediatric Therapy Inc

• Prosthetic/Orthotic Supplier in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Prosthetic/Orthotic Supplier in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.