Active NPI
Aaron Davis, SPECIALIST
- Prosthetics Case Management
- Charlotte, NC
National Provider Identifier
1700635935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- 26029
- Practice address
- 11130 S Tryon St # 100
Charlotte, NC 28273-4503 - Phone
- (980) 357-1368
- NPI assigned
- May 20, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | 26029 | NC | Primary |
Addresses
Primary practice location
11130 S Tryon St # 100
Charlotte, NC 28273-4503
Mailing address
3540 Toringdon Way Ste 200
Charlotte, NC 28277-4650
Phone (980) 357-1368
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 |
|---|---|---|---|
| 26029 | NC | MD | Prosthetics Case Management |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Timeless Enterprises LLC | Current | Accepting new patients |
Locations
3540 Toringdon Way
Ste 200
Charlotte, NC 28277
Phone (704) 575-7816
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 and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Charlotte, NC
- NPI 1306695531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1700635935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3540 TORINGDON WAY STE 200",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282774650",
"telephone_number": "980-357-1368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11130 S TRYON ST # 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282734503",
"telephone_number": "980-357-1368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "AARON",
"credential": "SPECIALIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-20",
"last_updated": "2024-05-20",
"certification_date": "2024-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "NC",
"license": "26029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.