Organization Active NPI

Ortho Pros Express, Inc

  • Prosthetic/Orthotic Supplier
  • Charlotte, NC
National Provider Identifier
1790747244
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ORTHO PROS EXPRESS, INC
Practice address
9307 Monroe Rd Ste M
Charlotte, NC 28270-1485
Phone
(704) 921-2286
Fax
(704) 831-8300
NPI assigned
Apr 3, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Andres Moreno III
Title
President
Phone
(866) 356-7846

Member of 1

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

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Ortho Pros Express, Inc.9307 Monroe Rd, Charlotte, NC 28270-1485(704) 921-2286 Heat & Cold Applications|Osteogenesis Stimulators|Canes and/or Crutches|Walkers|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf Accepts assignmentParticipating since Jan 1, 1998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930041723 NC DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Orthotic Personnel 9133249451 Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

Locations

6510 Northpark Blvd
Ste B
Charlotte, NC 28216

9307 Monroe Rd
Ste M
Charlotte, NC 28270
Phone (704) 749-6291

6510 Northpark Blvd
Charlotte, NC 28216

Specialties & licenses 2

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

Addresses

NPPES NPI Registry

Primary practice location

9307 Monroe Rd Ste M
Charlotte, NC 28270-1485

Mailing address

9307 Monroe Rd Ste M
Charlotte, NC 28270-1485
Phone (704) 921-2286

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
7701803MedicaidNC
DME958MedicaidSC
9113738MedicaidVA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 5, 2025.

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1790747244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9307 MONROE RD STE M",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282701485",
            "telephone_number": "704-921-2286",
            "fax_number": "704-831-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9307 MONROE RD STE M",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282701485",
            "telephone_number": "704-921-2286",
            "fax_number": "704-831-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO PROS EXPRESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-356-7846",
        "authorized_official_name_suffix": "III"
    },
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7701803",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME958",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9113738",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.