Organization 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
Registry record updated Feb 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03357086MedicaidNY

Other names 1

  • Center for Orthotic & Prosthetic Care Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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.

Verify at the official NPI Registry.