Organization Active NPI

Appalachian Prosthetic & Orthotic Services, Inc

  • Prosthetic/Orthotic Supplier
  • Kingsport, TN
National Provider Identifier
1982670964
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
APPALACHIAN PROSTHETIC & ORTHOTIC SERVICES, INC
Practice address
3551 E Stone Dr
Kingsport, TN 37660-7115
Phone
(423) 288-8599
Fax
(423) 288-5227
NPI assigned
Feb 28, 2006
Last updated
Nov 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Authorized official

Name
Mrs. Sharon E Williams, CO BOCO CPED
Title
Secretary Treasurer
Phone
(423) 288-8599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

3551 E Stone Dr
Kingsport, TN 37660-7115

Mailing address

3551 E Stone Dr
Kingsport, TN 37660-7115
Phone (423) 288-8599

Other identifiers 6

IdentifierTypeStateIssuer
1452100MedicaidTN
3015258OtherTNBCBS
702010907OtherTNCARITEN HEALTH CARE
9190821MedicaidVA
90122664MedicaidKY
TN0101OtherTNUNITED HEALTH CARE

Other names 1

  • Alexander Prosthetics & Orthotics, Inc. Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1982670964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 E STONE DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607115",
            "telephone_number": "423-288-8599",
            "fax_number": "423-288-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 E STONE DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607115",
            "telephone_number": "423-288-8599",
            "fax_number": "423-288-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN PROSTHETIC & ORTHOTIC SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SECRETARY TREASURER",
        "authorized_official_telephone_number": "423-288-8599",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CO BOCO CPED"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1452100",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3015258",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARITEN HEALTH CARE",
            "identifier": "702010907",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9190821",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90122664",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "TN0101",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alexander Prosthetics & Orthotics, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.