Organization Active NPI

Four Sons LLC

  • Durable Medical Equipment & Medical Supplies
  • Cornelius, NC
National Provider Identifier
1659586253
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
00976 Issued in NC
Legal business name
FOUR SONS LLC
Practice address
8301 Magnolia Estates Dr Ste 2
Cornelius, NC 28031-8053
Phone
(704) 655-9545
Fax
(704) 655-9632
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nanci Hoertt
Title
Billing
Phone
(704) 655-9545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 00976 NC Primary

Addresses

Primary practice location

8301 Magnolia Estates Dr Ste 2
Cornelius, NC 28031-8053

Mailing address

8301 Magnolia Estates Dr Ste 2
Cornelius, NC 28031-8053
Phone (704) 655-9545

Other identifiers 1

IdentifierTypeStateIssuer
7704194MedicaidNC

National Provider Directory

National Provider Directory

Locations

8301 Magnolia Estates Dr
Ste 2
Cornelius, NC 28031
Phone (704) 655-9545

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659586253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 MAGNOLIA ESTATES DR STE 2",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280318053",
            "telephone_number": "704-655-9545",
            "fax_number": "704-655-9632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 MAGNOLIA ESTATES DR STE 2",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280318053",
            "telephone_number": "704-655-9545",
            "fax_number": "704-655-9632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR SONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOERTT",
        "authorized_official_first_name": "NANCI",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "704-655-9545"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "00976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704194",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.