NPIMap

Organization Active NPI

Summit Prosthetics & Orthotics

  • Prosthetic/Orthotic Supplier
  • Fuquay Varina, NC
National Provider Identifier
1699910349
Registry record updated Dec 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
CPO02014 Issued in DE
Legal business name
SUMMIT PROSTHETICS & ORTHOTICS
Practice address
1006 Procure Dr
Suite 300
Fuquay Varina, NC 27526-2627
Phone
(919) 552-1464
Fax
(919) 552-1465
NPI assigned
Dec 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2008

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

Authorized official

Name
Mr. Mike Driscoll
Title
President
Phone
(919) 812-0153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X CPO02014 DE Primary

Addresses

Primary practice location

1006 Procure Dr
Suite 300
Fuquay Varina, NC 27526-2627

Mailing address

1006 Procure Dr
Suite 300
Fuquay Varina, NC 27526-2627
Phone (919) 552-1464

National Provider Directory

National Provider Directory

Locations

1006 Procure St
Ste 300
Fuquay Varina, NC 27526
Phone (919) 552-1464

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228867200000",
    "number": "1699910349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 PROCURE DR",
            "address_2": "SUITE 300",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262627",
            "telephone_number": "919-552-1464",
            "fax_number": "919-552-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 PROCURE DR",
            "address_2": "SUITE 300",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262627",
            "telephone_number": "919-552-1464",
            "fax_number": "919-552-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PROSTHETICS & ORTHOTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2008-12-10",
        "status": "A",
        "authorized_official_last_name": "DRISCOLL",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-812-0153",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "DE",
            "license": "CPO02014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fuquay Varina, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; 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.