Organization Active NPI

Center for Orthotic and Prosthetic Care of North Carolina, Inc

  • Prosthetic/Orthotic Supplier
  • Elmira, NY
National Provider Identifier
1659639037
Registry record updated Feb 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
CENTER FOR ORTHOTIC AND PROSTHETIC CARE OF NORTH CAROLINA, INC
Practice address
1141 Broadway St
Suite 6
Elmira, NY 14904-2542
Phone
(607) 215-0847
Fax
(607) 767-6852
NPI assigned
Apr 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2019

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

Authorized official

Name
Grace Angeline
Title
Reg Compliance Specialist III
Phone
(714) 961-2102

Specialties & licenses 1

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

Addresses

Primary practice location

1141 Broadway St
Suite 6
Elmira, NY 14904-2542

Mailing address

1141 Broadway St
Suite 6
Elmira, NY 14904-2542
Phone (607) 215-0847

Other identifiers 1

IdentifierTypeStateIssuer
04392247MedicaidNY

Other names 1

  • Center for Orthotic and Prosthetic Care Other name

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1141 Broadway St
Ste 6
Elmira, NY 14904
Phone (607) 215-0847

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549756800000",
    "number": "1659639037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 BROADWAY ST",
            "address_2": "SUITE 6",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149042542",
            "telephone_number": "607-215-0847",
            "fax_number": "607-767-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 BROADWAY ST",
            "address_2": "SUITE 6",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149042542",
            "telephone_number": "607-215-0847",
            "fax_number": "607-767-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ORTHOTIC AND PROSTHETIC CARE OF NORTH CAROLINA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2019-02-10",
        "status": "A",
        "authorized_official_last_name": "ANGELINE",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "REG COMPLIANCE SPECIALIST III",
        "authorized_official_telephone_number": "714-961-2102"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04392247",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Orthotic and Prosthetic Care",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Center for Orthotic and Prosthetic Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elmira, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2019; 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.