Organization Active NPI

Western Carolina O & P

  • Prosthetic/Orthotic Supplier
  • Spartanburg, SC
National Provider Identifier
1780135269
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
WESTERN CAROLINA O & P
Practice address
366 S Pine St
Spartanburg, SC 29302-2624
Phone
(864) 208-1745
Fax
(864) 208-1778
NPI assigned
Oct 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Authorized official

Name
Mrs. Kelly Roberts Wiggen, COF
Title
Manager
Phone
(828) 595-9371

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

366 S Pine St
Spartanburg, SC 29302-2624

Mailing address

107 E Walker St
East Flat Rock, NC 28726-2235
Phone (828) 595-9371

National Provider Directory

National Provider Directory

Member of 2

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

Locations

366 S Pine St
Spartanburg, SC 29302
Phone (864) 208-1745

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1780135269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E WALKER ST",
            "city": "EAST FLAT ROCK",
            "state": "NC",
            "postal_code": "287262235",
            "telephone_number": "828-595-9371",
            "fax_number": "828-595-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 S PINE ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293022624",
            "telephone_number": "864-208-1745",
            "fax_number": "864-208-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN CAROLINA O & P",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "WIGGEN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ROBERTS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "828-595-9371",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "COF"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.