Advanced Prosthetics of Easley, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ADVANCED PROSTHETICS OF EASLEY, INC.

Practice address

2550 Court Dr
Ste 101
Gastonia, NC 28054-2152

Phone

(855) 859-4709

Fax

(864) 855-9331

NPI assigned

Jan 22, 2016

Last updated

May 6, 2021By 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

Carol Baker

Title

Dir. of HR

Phone

(864) 622-0900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Advanced Prosthetics of Easley, Inc.

  • Prosthetic/Orthotic Supplier
  • Easley, SC
  • NPI 1821081159

  9830210350

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Advanced Prosthetics of Easley Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Advanced Prosthetics of Easley, Inc.

  • Prosthetic/Orthotic Supplier
  • Easley, SC
  • NPI 1821081159
  NPD tax ID

Locations

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1770940678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 COURT DR",
            "address_2": "STE 101",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542152",
            "telephone_number": "855-859-4709",
            "fax_number": "864-855-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 COURT DR",
            "address_2": "STE 101",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542152",
            "telephone_number": "855-859-4709",
            "fax_number": "864-855-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PROSTHETICS OF EASLEY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-22",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "DIR. OF HR",
        "authorized_official_telephone_number": "864-622-0900"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Prosthetic/Orthotic Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.