NPIMap

Organization Active NPI

Charm City Orthotics & Prosthetics

  • Prosthetic/Orthotic Supplier
  • Waldorf, MD
National Provider Identifier
1669764262
Registry record updated May 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
CHARM CITY ORTHOTICS & PROSTHETICS
Practice address
12933 Jameson Dr
Waldorf, MD 20602-3023
Phone
(301) 980-4995
NPI assigned
May 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2011

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

Authorized official

Name
Mr. Johnnie Earl Loveday Jr., BOCO
Title
Owner
Phone
(301) 980-4995

Specialties & licenses 1

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

Addresses

Primary practice location

12933 Jameson Dr
Waldorf, MD 20602-3023

Mailing address

12933 Jameson Dr
Waldorf, MD 20602-3023
Phone (301) 980-4995

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1305417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305417600000",
    "number": "1669764262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12933 JAMESON DR",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023023",
            "telephone_number": "301-980-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12933 JAMESON DR",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023023",
            "telephone_number": "301-980-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARM CITY ORTHOTICS & PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-15",
        "last_updated": "2011-05-15",
        "status": "A",
        "authorized_official_last_name": "LOVEDAY",
        "authorized_official_first_name": "JOHNNIE",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-980-4995",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "BOCO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2011; 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.