Organization Active NPI

Advanced Orthotics and Prosthetics

  • Prosthetic/Orthotic Supplier
  • Myrtle Beach, SC
National Provider Identifier
1811140940
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ADVANCED ORTHOTICS AND PROSTHETICS
Practice address
316 79TH Ave N
Myrtle Beach, SC 29572-4304
Phone
(843) 206-3777
NPI assigned
Nov 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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

Authorized official

Name
Mr. Phillipe Ramon Cartaya, CPO
Title
Owner/P5Resident
Phone
(843) 206-3777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

316 79TH Ave N
Myrtle Beach, SC 29572-4304

Mailing address

316 79TH Ave N
Myrtle Beach, SC 29572-4304
Phone (843) 206-3777

National Provider Directory

National Provider Directory

Locations

316 79th Ave N
Myrtle Beach, SC 29572
Phone (843) 206-3777

NPI Registry JSON

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1811140940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 79TH AVE N",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724304",
            "telephone_number": "843-206-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 79TH AVE N",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724304",
            "telephone_number": "843-206-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ORTHOTICS AND PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "CARTAYA",
        "authorized_official_first_name": "PHILLIPE",
        "authorized_official_middle_name": "RAMON",
        "authorized_official_title_or_position": "OWNER/P5RESIDENT",
        "authorized_official_telephone_number": "843-206-3777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; 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.