Active NPI
Richard A Mitchell, CO, BOCPO
- Prosthetics Case Management
- Whiteville, NC
National Provider Identifier
1598889016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- Practice address
- 702 Jefferson St
Whiteville, NC 28472-3706 - Phone
- (910) 641-9179
- NPI assigned
- Mar 19, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | Primary |
Addresses
Primary practice location
702 Jefferson St
Whiteville, NC 28472-3706
Mailing address
702 Jefferson St
Whiteville, NC 28472-3706
Phone (910) 641-9179
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7795371 | Medicaid | NC |
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": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359417600000",
"number": "1598889016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 JEFFERSON ST",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284723706",
"telephone_number": "910-641-9179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 JEFFERSON ST",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284723706",
"telephone_number": "910-641-9179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "RICHARD",
"middle_name": "A",
"credential": "CO, BOCPO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2013-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7795371",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Whiteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.