Active NPI
Ortho Pros Express, Inc
- Prosthetic/Orthotic Supplier
- Charlotte, NC
National Provider Identifier
1790747244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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 NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Ortho Pros Express, Inc. | Heat & Cold Applications|Osteogenesis Stimulators|Canes and/or Crutches|Walkers|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf | Accepts assignment |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930041723 | NC | DME Supplier - Medical Supply Company | 9133249451 | Practice locations: Charlotte, NC |
National Provider Directory
National Provider DirectoryLocations
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7701803 | Medicaid | NC | |
| DME958 | Medicaid | SC | |
| 9113738 | Medicaid | VA |
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.