Davidson Prosthetics & Orthotics

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

DAVIDSON PROSTHETICS & ORTHOTICS

Practice address

845 Church St N Ste 205
Concord, NC 28025-4374

Phone

(704) 467-8000

NPI assigned

Oct 15, 2020

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 5

Addresses

Other names 1

• Renew Prosthetics and Orthotics Doing business as

Member of 1

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

• Kenney Orthopedics of Monroe, LLC

  • Prosthetic/Orthotic Supplier
  • Charlotte, NC
  • NPI 1770142390

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1982202545",
    "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": "845 CHURCH ST N STE 205",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254374",
            "telephone_number": "704-467-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIDSON PROSTHETICS & ORTHOTICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANGER INC",
        "enumeration_date": "2020-10-15",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "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": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "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",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Renew Prosthetics and Orthotics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David E Thome DDS PLLC IX
• David E Thome DDS PLLC L1
• David M Reynolds OD PC
• David U Lipsitz, MD
• Lasheta P. David, O.D.
• Cheryl Davis-Woodard
• Christine Marie Davis, AGACNP-BC
• Connor Michael Davis, DPT
• Eddie Dean Davis, PAC
• Emily Annmarie Davis, RDH

• Prosthetic/Orthotic Supplier in Concord, NC
• Providers in Concord, 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 5, 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.