Active NPI
Level Four Orthotics & Prosthetics, Inc.
- Prosthetic/Orthotic Supplier
- Raleigh, NC
National Provider Identifier
1790017929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- LEVEL FOUR ORTHOTICS & PROSTHETICS, INC.
- Doing business as
- Restore POC
- Practice address
- 5613 Duraleigh Rd
Raleigh, NC 27612-2694 - Phone
- (919) 851-7385
- Fax
- (919) 851-7387
- NPI assigned
- Feb 15, 2010
- 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
- Janet Woodall
- Title
- Director, Contracting
- Phone
- (336) 397-0993
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
5613 Duraleigh Rd
Raleigh, NC 27612-2694
Mailing address
2534 Empire Dr
Winston Salem, NC 27103-6710
Phone (336) 397-2165
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790017929 | Medicaid | NC |
Other names 1
- Restore POC
National Provider Directory
National Provider DirectoryLocations
5613 Duraleigh Rd
Raleigh, NC 27612
Phone (919) 851-7385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1563840000000",
"number": "1790017929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2534 EMPIRE DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271036710",
"telephone_number": "336-397-2165",
"fax_number": "336-397-2167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5613 DURALEIGH RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276122694",
"telephone_number": "919-851-7385",
"fax_number": "919-851-7387"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEVEL FOUR ORTHOTICS & PROSTHETICS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-15",
"last_updated": "2019-07-23",
"status": "A",
"authorized_official_last_name": "WOODALL",
"authorized_official_first_name": "JANET",
"authorized_official_title_or_position": "DIRECTOR, CONTRACTING",
"authorized_official_telephone_number": "336-397-0993"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1790017929",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Restore POC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.