Davidson Prosthetics & Orthotics

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

DAVIDSON PROSTHETICS & ORTHOTICS

Doing business as

Renew Prosthetics and Orthotics Inc.

Practice address

146 Medical Park Rd Ste 102
Mooresville, NC 28117-8529

Phone

(704) 765-9837

Fax

(704) 997-2679

NPI assigned

Apr 2, 2013

Last updated

Mar 8, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

HANGER INCAs reported in NPPES

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

Authorized official

Name

Grace Angeline

Title

Provider Contract Analyst III

Phone

(714) 961-2102

Specialties & licenses 2

Addresses

Other names 1

• Renew Prosthetics and Orthotics Inc. Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Kenney Orthopedics of Monroe, LLC

  dba Hanger Clinic

  • Prosthetic/Orthotic Supplier
  • Monroe, NC
  • NPI 1942790431

  Member Of

  NPD member

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.

• Martha E Matthews, CPO

  • Prosthetist
  • Elkin, NC
  • NPI 1346431749
  NPD (past)

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1922341544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650846",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 MEDICAL PARK RD STE 102",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178529",
            "telephone_number": "704-765-9837",
            "fax_number": "704-997-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIDSON PROSTHETICS & ORTHOTICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANGER INC",
        "enumeration_date": "2013-04-02",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "ANGELINE",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "PROVIDER CONTRACT ANALYST III",
        "authorized_official_telephone_number": "714-961-2102"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "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": "Renew Prosthetics and Orthotics Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Moore Daubenmire, MA, CCC-SLP
• David E Thome DDS PLLC I (Mooresville Pediatric Dentistry)
• David E Thome DDS PLLC II (Mooresville Pediatric Dentistry)
• David E Thome DDS PLLC L1
• David Wichnoski OD PA (Spectrum Eye Care)
• Casey Davidson
• Ronnie Glynn Davidson II, DMD
• Ella Davila-Hernandez
• Alison Baker Davis, MSW, LCAS
• Amanda Davis

• Prosthetic/Orthotic Supplier in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Prosthetic/Orthotic Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.