Active NPI
Raymond Derwin Jones, CFTS
- Orthotic Fitter
- Smithfield, NC
National Provider Identifier
1760771828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotic Fitter
- License
- CFTS01245
- Practice address
- 3243 US Highway 70 E Ste 202
Smithfield, NC 27577-8794 - Phone
- (855) 965-6900
- Fax
- (919) 965-6902
- NPI assigned
- Mar 29, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthotic Fitter | 225000000X | CFTS01245 | NC | Primary |
Addresses
Primary practice location
3243 US Highway 70 E Ste 202
Smithfield, NC 27577-8794
Mailing address
3243 US Highway 70 E Ste 202
Smithfield, NC 27577-8794
Phone (855) 965-6900
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 |
|---|---|---|---|
| CFTS01245 | NC | MD | Orthotic Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raymond D. Jones | Past | Accepting new patients |
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.
-
dba Triangle Mobility & Medical Supply
- Non-emergency Medical Transport (VAN)
- Raleigh, NC
- NPI 1558394353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306108800000",
"number": "1760771828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3243 US HIGHWAY 70 E STE 202",
"city": "SMITHFIELD",
"state": "NC",
"postal_code": "275778794",
"telephone_number": "855-965-6900",
"fax_number": "919-965-6902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3243 US HIGHWAY 70 E STE 202",
"city": "SMITHFIELD",
"state": "NC",
"postal_code": "275778794",
"telephone_number": "855-965-6900",
"fax_number": "919-965-6902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "RAYMOND",
"middle_name": "DERWIN",
"credential": "CFTS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-29",
"last_updated": "2011-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": "NC",
"license": "CFTS01245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smithfield, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.