Active NPI
Western Carolina O & P
- Prosthetic/Orthotic Supplier
- Spartanburg, SC
National Provider Identifier
1780135269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Columbia, SC
- NPI 1861813867
Member Of
-
- Prosthetic/Orthotic Supplier
- Charlotte, NC
- NPI 1922048313
Member Of
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.