Organization Active NPI

Inner Coastal Orthotics and Prosthetics

  • Orthotist
  • Washington, NC
National Provider Identifier
1790175917
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
Legal business name
INNER COASTAL ORTHOTICS AND PROSTHETICS
Practice address
1102 North Brown St.
Washington, NC 27889
Phone
(252) 623-2200
Fax
(252) 623-2015
NPI assigned
Jan 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Authorized official

Name
Greg Michael Berry
Title
Owner/President
Phone
(252) 623-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OrthotistGroup: 193200000X MULTI-SPECIALTY GROUP 222Z00000X Primary

Addresses

Primary practice location

1102 North Brown St.
Washington, NC 27889

Mailing address

1102 North Brown St.
Washington, NC 27889
Phone (252) 623-2200

National Provider Directory

National Provider Directory

Locations

1102 Brown St
Washington, NC 27889
Phone (252) 623-2200

NPI Registry JSON

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1790175917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 NORTH BROWN ST.",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "27889",
            "telephone_number": "252-623-2200",
            "fax_number": "252-623-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 NORTH BROWN ST.",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "27889",
            "telephone_number": "252-623-2200",
            "fax_number": "252-623-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER COASTAL ORTHOTICS AND PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "252-623-2200"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.