Individual provider Active NPI

Vance R Walton, CFO

  • Orthotic Fitter
  • Greensboro, NC
National Provider Identifier
1891425930
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthotic FitterTaxonomy code 225000000X
License
04891 Issued in NC
Practice address
2301 N Church St
Greensboro, NC 27405-4309
Phone
(336) 333-9081
Fax
(336) 333-9083
NPI assigned
Jun 13, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotic Fitter 225000000X 04891 NC Primary

Addresses

Primary practice location

2301 N Church St
Greensboro, NC 27405-4309

Mailing address

2301 N Church St
Greensboro, NC 27405-4309
Phone (336) 333-9081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
04891NCMDOrthotic Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Bio-Tech Prosthetics and Orthotics, Inc PastSince Jun 21, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1891425930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 N CHURCH ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274054309",
            "telephone_number": "336-333-9081",
            "fax_number": "336-333-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 N CHURCH ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274054309",
            "telephone_number": "336-333-9081",
            "fax_number": "336-333-9083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "VANCE",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "CFO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "NC",
            "license": "04891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.