NPIMap

Organization Active NPI

Sprinkle Prosthetics Inc.

  • Orthotic Fitter
  • Spartanburg, SC
National Provider Identifier
1811952146
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthotic FitterTaxonomy code 225000000X
License
CPO01763 Issued in SC
Legal business name
SPRINKLE PROSTHETICS INC.
Practice address
383 S Pine St
Suite a
Spartanburg, SC 29302-2650
Phone
(864) 591-2242
Fax
(864) 591-2037
NPI assigned
Apr 19, 2006
Last updated
Oct 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Authorized official

Name
Mr. Jeff W Sprinkle, CPONPI 1376872192
Title
Owner President
Phone
(864) 591-2242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotic Fitter 225000000X CPO01763 SC Primary

Addresses

Primary practice location

383 S Pine St
Suite a
Spartanburg, SC 29302-2650

Mailing address

383 S Pine St
Suite a
Spartanburg, SC 29302-2650
Phone (864) 591-2242

Other identifiers 1

IdentifierTypeStateIssuer
DE2685MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930067781 SC DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 1355542150 Practice locations: Spartanburg, SC

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
Sprinkle Prosthetics Inc383 S Pine St, Spartanburg, SC 29302-2650(864) 591-2242 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Oct 4, 2005

National Provider Directory

National Provider Directory

Locations

383 S Pine St
Ste A
Spartanburg, SC 29302
Phone (864) 591-2242

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1811952146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 S PINE ST",
            "address_2": "SUITE A",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293022650",
            "telephone_number": "864-591-2242",
            "fax_number": "864-591-2037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 S PINE ST",
            "address_2": "SUITE A",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293022650",
            "telephone_number": "864-591-2242",
            "fax_number": "864-591-2037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINKLE PROSTHETICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "SPRINKLE",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "864-591-2242",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "SC",
            "license": "CPO01763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2685",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.