Active NPI
Center for Orthotic and Prosthetic Care of North Carolina, Inc.
Doing business as Center for Orthotic & Prosthetic Care
- Prosthetic/Orthotic Supplier
- Johnson City, NY
National Provider Identifier
1700185238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- CENTER FOR ORTHOTIC AND PROSTHETIC CARE OF NORTH CAROLINA, INC.
- Doing business as
- Center for Orthotic & Prosthetic Care
- Practice address
- 130 Oakdale Rd
Johnson City, NY 13790-1758 - Phone
- (607) 235-3066
- Fax
- (607) 235-3068
- NPI assigned
- Mar 23, 2011
- Last updated
- Feb 10, 2019
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | NY | Primary |
Addresses
Primary practice location
130 Oakdale Rd
Johnson City, NY 13790-1758
Mailing address
130 Oakdale Rd
Johnson City, NY 13790-1758
Phone (607) 235-3066
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03357086 | Medicaid | NY |
Other names 1
- Center for Orthotic & Prosthetic Care
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Hanger Clinic
- Prosthetic/Orthotic Supplier
- Waldorf, MD
- NPI 1801120175
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1549756800000",
"number": "1700185238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 OAKDALE RD",
"city": "JOHNSON CITY",
"state": "NY",
"postal_code": "137901758",
"telephone_number": "607-235-3066",
"fax_number": "607-235-3068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 OAKDALE RD",
"city": "JOHNSON CITY",
"state": "NY",
"postal_code": "137901758",
"telephone_number": "607-235-3066",
"fax_number": "607-235-3068"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR ORTHOTIC AND PROSTHETIC CARE OF NORTH CAROLINA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-23",
"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": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03357086",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Center for Orthotic & Prosthetic Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Center for Orthotic & Prosthetic Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Johnson City, 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.