Active NPI
Jason Pantages, CO, MSPO
- Orthotist
- Chapel Hill, NC
National Provider Identifier
1558856450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- 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
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 |
|---|---|---|---|---|
| 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.