Active NPI
Todd M. Ank, BOCPO
- Prosthetist
- New Bern, NC
National Provider Identifier
1679742373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- C21078
- Practice address
- 1505 S Glenburnie Rd Ste C
New Bern, NC 28562-2632 - Phone
- (252) 638-8989
- Fax
- (252) 638-5989
- NPI assigned
- Feb 27, 2008
- Last updated
- Mar 31, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | C21078 | NC | |
| Prosthetist | 224P00000X | C21078 | NC | Primary |
Addresses
Primary practice location
1505 S Glenburnie Rd Ste C
New Bern, NC 28562-2632
Mailing address
1505 S Glenburnie Rd Ste C
New Bern, NC 28562-2632
Phone (252) 638-8989
Other practice location 1
12 Office Park Dr
Jacksonville, NC 28546-7325
Phone (910) 353-9002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7704555 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C21078 | NC | MD | Prosthetist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Prosthetic/Orthotic Supplier
- Morehead City, NC
- NPI 1851105803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648684800000",
"number": "1679742373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 S GLENBURNIE RD STE C",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285622632",
"telephone_number": "252-638-8989",
"fax_number": "252-638-5989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 S GLENBURNIE RD STE C",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285622632",
"telephone_number": "252-638-8989",
"fax_number": "252-638-5989"
}
],
"practiceLocations": [
{
"address_1": "12 Office Park Dr",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "NC",
"postal_code": "285467325",
"country_code": "US",
"telephone_number": "910-353-9002",
"fax_number": "910-353-9003",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANK",
"first_name": "TODD",
"middle_name": "M.",
"credential": "BOCPO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-27",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "NC",
"license": "C21078",
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "NC",
"license": "C21078",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7704555",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.