Organization Active NPI

W Jason Metzger

  • Prosthetic/Orthotic Supplier
  • Mooresville, NC
National Provider Identifier
1639286453
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
W JASON METZGER
Practice address
248 N Main St
Mooresville, NC 28115-2528
Phone
(704) 799-0200
Fax
(704) 799-0240
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2009

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

Authorized official

Name
Jason Metzger
Title
Owner
Phone
(704) 799-0200

Specialties & licenses 1

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

Addresses

Primary practice location

248 N Main St
Mooresville, NC 28115-2528

Mailing address

248 N Main St
Mooresville, NC 28115-2528
Phone (704) 799-0200

Other names 1

  • Metzger's Footcare Other name

National Provider Directory

National Provider Directory

Locations

248 N Main St
Mooresville, NC 28115
Phone (704) 799-0200

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1639286453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 N MAIN ST",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152528",
            "telephone_number": "704-799-0200",
            "fax_number": "704-799-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 N MAIN ST",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152528",
            "telephone_number": "704-799-0200",
            "fax_number": "704-799-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W JASON METZGER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "METZGER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-799-0200"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metzger's Footcare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; 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.