Individual provider Active NPI

Jason Pantages, CO, MSPO

  • Orthotist
  • Chapel Hill, NC
National Provider Identifier
1558856450
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
Practice address
200 Timberhill PL Unit 203
Chapel Hill, NC 27514-1964
Phone
(919) 945-0215
NPI assigned
Jun 25, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X NC
Orthotist 222Z00000X NC Primary

Addresses

Primary practice location

200 Timberhill PL Unit 203
Chapel Hill, NC 27514-1964

Mailing address

200 Timberhill PL Unit 203
Chapel Hill, NC 27514-1964
Phone (919) 945-0215

Other practice location 1

1807 N. Fordham Blvd
chapel hill, NC 27514
Phone (984) 974-9714

Other practice location 2

101 Manning Dr
Braceshop
chapel hill, NC 27514
Phone (984) 974-4630

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": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1558856450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 TIMBERHILL PL UNIT 203",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141964",
            "telephone_number": "919-945-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TIMBERHILL PL UNIT 203",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141964",
            "telephone_number": "919-945-0215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1807 N. Fordham Blvd",
            "address_purpose": "LOCATION",
            "city": "chapel hill",
            "state": "NC",
            "postal_code": "27514",
            "country_code": "US",
            "telephone_number": "984-974-9714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Manning Dr",
            "address_2": "Braceshop",
            "address_purpose": "LOCATION",
            "city": "chapel hill",
            "state": "NC",
            "postal_code": "27514",
            "country_code": "US",
            "telephone_number": "984-974-4630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANTAGES",
        "first_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "CO, MSPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.