Country Cobbler, LTD.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

00992 Issued in NC

Legal business name

COUNTRY COBBLER, LTD.

Practice address

1001 Airport Blvd
Suite 125
Morrisville, NC 27560-8935

Phone

(919) 319-9799

Fax

(919) 319-8985

NPI assigned

Jul 31, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Monty K. Montey

Title

President/Owner

Phone

(910) 772-9994

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1962758714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 AIRPORT BLVD",
            "address_2": "SUITE 125",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608935",
            "telephone_number": "919-319-9799",
            "fax_number": "919-319-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 AIRPORT BLVD",
            "address_2": "SUITE 125",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608935",
            "telephone_number": "919-319-9799",
            "fax_number": "919-319-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY COBBLER, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "MONTEY",
        "authorized_official_first_name": "MONTY",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "910-772-9994",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NC",
            "license": "00992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coordinated Health Services, Inc.
• Ceara Corry, MSW, MPA, LCSW
• Jaunice Scopelliti Cottone, PA-C
• Leon Dale Cottrell, PHARMD
• Charles Boyd Counselman, LCSW
• Ibukunoluwa Covington, PHARMD
• Destiny Monae Cowan
• Chad Everett Cox, MD
• Denise Coyne, LCHMC
• Crabtree Health PLLC

• Prosthetic/Orthotic Supplier in Morrisville, NC
• Providers in Morrisville, 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 Jul 31, 2012; 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.