Next Step Medical Corp

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

2018-2468-21-R Issued in VA

Legal business name

NEXT STEP MEDICAL CORP

Practice address

4501 N Witchduck Rd Ste H
Virginia Beach, VA 23455

Phone

(757) 802-3210

Fax

(866) 421-0397

NPI assigned

Sep 6, 2010

Last updated

Aug 28, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Charles Stanley Davis III

Title

Orthotist

Phone

(757) 802-3210

Specialties & licenses 2

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1283731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535414400000",
    "number": "1740597202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 N WITCHDUCK RD STE H",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556217",
            "telephone_number": "757-802-3210",
            "fax_number": "866-421-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 N WITCHDUCK RD STE H",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23455",
            "telephone_number": "757-802-3210",
            "fax_number": "866-421-0397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4501 N Witchduck Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234556217",
            "country_code": "US",
            "telephone_number": "757-802-3210",
            "fax_number": "866-421-0397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEXT STEP MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-06",
        "last_updated": "2018-08-28",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "STANLEY",
        "authorized_official_title_or_position": "ORTHOTIST",
        "authorized_official_telephone_number": "757-802-3210",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "246821-R",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "VA",
            "license": "2018-2468-21-R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "423608",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740597202",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOMELINK",
            "identifier": "P35205",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE PRIME",
            "identifier": "1740597202",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lacy Blanchard Ngo, M.S., R.D.
• Michael Xuan Khang Ngo, DO

• Prosthetic/Orthotic Supplier in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Prosthetic/Orthotic Supplier in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.