Organization Active NPI

Soundside Orthotics & Prosthetics, LLC

Doing business as Evergreen Prosthetics and Orthotics

  • Prosthetic/Orthotic Supplier
  • Morehead City, NC
National Provider Identifier
1801531496
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
SOUNDSIDE ORTHOTICS & PROSTHETICS, LLC
Doing business as
Evergreen Prosthetics and Orthotics
Practice address
4252 Arendell St Ste D
Morehead City, NC 28557-0015
Phone
(252) 726-8068
Fax
(252) 631-1859
NPI assigned
Apr 28, 2022
Last updated
Sep 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Authorized official

Name
Joseph Huntsman
Title
Ceo
Phone
(252) 638-1312

Specialties & licenses 2

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

Addresses

Primary practice location

4252 Arendell St Ste D
Morehead City, NC 28557-0015

Mailing address

1421 S Glenburnie Rd Ste D
New Bern, NC 28562-2603
Phone (252) 638-1312

Other names 2

  • Evergreen Prosthetics and Orthotics Doing business as
  • Coastal Prosthetics & Orthotics, LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220721002643 NC DME Supplier - Medical Supply Company With Orthotic-Prosthetic 3274869912 Practice locations: Morehead City, NC

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
Soundside Orthotics & Prosthetics4252 Arendell St, Morehead City, NC 28557-0015(252) 726-8068 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Breast Prostheses and/or Accessories|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Accepts assignmentParticipating since Apr 22, 2019

National Provider Directory

National Provider Directory
Tax ID family
Soundside Orthotics Prosthetics LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4252 Arendell St
Ste D
Morehead City, NC 28557
Phone (252) 638-1312

NPI Registry JSON

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790640000000",
    "number": "1801531496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 S GLENBURNIE RD STE D",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622603",
            "telephone_number": "252-638-1312",
            "fax_number": "252-631-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4252 ARENDELL ST STE D",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285570015",
            "telephone_number": "252-726-8068",
            "fax_number": "252-631-1859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUNDSIDE ORTHOTICS & PROSTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-28",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A",
        "authorized_official_last_name": "HUNTSMAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-638-1312"
    },
    "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": [
        {
            "organization_name": "Evergreen Prosthetics and Orthotics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coastal Prosthetics & Orthotics, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Morehead City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.