Organization Active NPI

First Choice Orthotics & Prosthetics Inc.

  • Customized Equipment (DME)
  • Jackson, MS
National Provider Identifier
1982629796
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
025383878 Issued in MS
Legal business name
FIRST CHOICE ORTHOTICS & PROSTHETICS INC.
Practice address
1717 Raymond Rd
Jackson, MS 39204-4125
Phone
(601) 502-2222
Fax
(601) 502-2244
NPI assigned
Jul 13, 2006
Last updated
Nov 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Authorized official

Name
Mr. Charles Williams, CPO FAAOPNPI 1487899746
Title
Ceo /President
Phone
(601) 502-2222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 025383878 MS Primary

Addresses

Primary practice location

1717 Raymond Rd
Jackson, MS 39204-4125

Mailing address

PO Box 7384
Jackson, MS 39282-7384
Phone (601) 502-2222

Other identifiers 1

IdentifierTypeStateIssuer
00440869MedicaidMS

National Provider Directory

National Provider Directory

Locations

1717 Raymond Rd
Jackson, MS 39204
Phone (601) 502-2222

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": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1982629796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7384",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392827384",
            "telephone_number": "601-502-2222",
            "fax_number": "601-502-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 RAYMOND RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392044125",
            "telephone_number": "601-502-2222",
            "fax_number": "601-502-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE ORTHOTICS & PROSTHETICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO /PRESIDENT",
        "authorized_official_telephone_number": "601-502-2222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO FAAOP"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MS",
            "license": "025383878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00440869",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.