W.T. Hinnant Artificial Limb Co
Organization Active NPI Specialist · Charlotte, NC
NPI 1679540918 · NPPES record last updated Oct 28, 2020
Key facts
- NPI
- 1679540918
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- W.T. HINNANT ARTIFICIAL LIMB CO
- Practice address
- 3707 Latrobe Dr Ste 430
Charlotte, NC 28211-1360 - Phone
- (704) 375-2587
- Fax
- (704) 333-4429
- NPI assigned
- Mar 7, 2006
- Organization subpart
- No
Authorized official
- Name
- Jason Ralph Riffle
- Title
- President
- Phone
- (704) 375-2587
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Practitioners 8
-
Jason Ralph Riffle, C.P.
-
Hannah Nicole Brown, CPO
-
Jeffrey Scott Haskett, MS, CPO,FAAOP
-
Milton Kale Hinnant, CP, FAAOP
-
William Glenn Trock, C.P.
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Hinnant Prosthetics |
Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930063014 | NC | DME Supplier - Prosthetic Personnel |
3779609375 | Practice locations: Charlotte, NC |
National Provider Directory
- Tax ID family
- Hinnant Prosthetics
Locations
120 E Kingston Ave
Charlotte, NC 28203
Phone (704) 375-2587
3707 Latrobe Dr
Ste 430
Charlotte, NC 28211
Phone (704) 375-2587
4455 Devine St
Columbia, SC 29205
Phone (803) 787-6911
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
Addresses
Primary practice location
3707 Latrobe Dr Ste 430
Charlotte, NC 28211-1360
Mailing address
3707 Latrobe Dr Ste 430
Charlotte, NC 28211-1360
Phone (704) 375-2587
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 540597 | Medicaid | SC | |
| 7700155 | Medicaid | NC |
Other names
- Hinnant Prosthetics
Other providers in Charlotte, NC
- Vyve Wellness Charlotte PLLC
- Vyve Wellness Wendover PLLC
- W K Monroe, DDS, PLLC
- W. David Christenbery
- W.I.M. LLC
- Johnnie Hamby Waataja
- Wab Home Health Care Agency
- Priscilla Angela Wabela
- Anthony Wachnik
- Vida Abbasi Wachob
All providers in Charlotte, NC · Specialist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.