ROYAL ORTHOTICS, LLC (NPI# 1043667025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043667025 |
Entity Type | Organization |
Organization Name | ROYAL ORTHOTICS, LLC |
Practice Address |
1028 Lee Ann Dr Ne Ste 50 Concord NC 28025-2903 |
Practice Telephone | 9807811521 |
Practice Fax Number | 9807811526 |
Mailing Telephone | 9807811521 |
Mailing Fax Number | 9807811526 |
Enumeration Date | 2016-05-19 |
Last Update Date | 2016-09-21 |
Authorized Official Name | COREY PENA (OWNER/CERTIFIED ORTHOTIST) |
Authorized Official Telephone | 9807811521 |
Authorized Official Credential | CO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
Street Address |
1028 LEE ANN DR NE STE 50 |
City | CONCORD |
State | NC |
Zip Code | 28025-2903 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447256854 | Thomas Francis Trahey IIi | Specialist | 1028 Lee Ann Dr Ne, Suite 100, Concord, NC 28025-2903 | 2005-06-22 |
1407282320 | Alyssa Danielle Vahala | Physician Assistant | 1028 Lee Ann Dr Ne, Suite 200, Concord, NC 28025-2903 | 2013-09-24 |
1609120427 | Amber James Clontz | Nurse Practitioner | 1028 Lee Ann Dr Ne, Suite 200, Concord, NC 28025-2903 | 2012-10-31 |
1851647572 | Amy R Skipper | Nurse Practitioner | 1028 Lee Ann Dr Ne, Suite 200, Concord, NC 28025-2903 | 2012-07-31 |
1275890477 | Mark Anthony Smiley | Emergency Medicine | 1028 Lee Ann Dr Ne, Concord, NC 28025-2903 | 2012-04-12 |
1447517628 | Eric William Martin | Emergency Medicine | 1028 Lee Ann Dr Ne, Suite 200, Concord, NC 28025-2903 | 2012-04-12 |
1831455229 | Idan Cudykier | Emergency Medicine | 1028 Lee Ann Dr Ne, Suite 200, Concord, NC 28025-2903 | 2012-04-10 |
1265752943 | John David Franklin | Emergency Medicine | 1028 Lee Ann Dr Ne, Ste 200, Concord, NC 28025-2903 | 2010-06-04 |
1508196098 | Novant Medical Group, Inc. | Internal Medicine | 1028 Lee Ann Dr Ne, Suite 100, Concord, NC 28025-2903 | 2010-01-05 |
1174795058 | Gregory Lawrence Geers | Emergency Medicine | 1028 Lee Ann Dr Ne, Suite 200, Concord, NC 28025-2903 | 2008-03-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
Find all providers in zip 28025 |
Taxonomy Code | 332BC3200X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
Specialization | Customized Equipment |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790349850 | Unique Boutique Inc | Durable Medical Equipment & Medical Supplies | 200 Medical Park Dr Ste 145, Concord, NC 28025-0928 | 2019-04-24 |
1619203171 | Scoliosis Solutions | Durable Medical Equipment & Medical Supplies | 3630 Poplar Tent Rd, Concord, NC 28027-5535 | 2009-10-19 |
1114009024 | Advanced Home Care, Inc. | Durable Medical Equipment & Medical Supplies | 744 Church St N, Concord, NC 28025-4336 | 2006-10-19 |
1629421029 | Truecarerx, LLC | Durable Medical Equipment & Medical Supplies | 760 Cabarrus Ave W, Concord, NC 28027-6851 | 2016-07-20 |
1710380704 | Pain Md LLC | Durable Medical Equipment & Medical Supplies | 855 Bradley St, Ste. A, Concord, NC 28025-2979 | 2014-10-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972102051 | Sassy Stylez | Durable Medical Equipment & Medical Supplies | 231 Graham Meadow Dr, Charlotte, NC 28213-4921 | 2020-10-20 |
1093327736 | Mcduffie & Associates, Inc | Durable Medical Equipment & Medical Supplies | 203 Church Hill Ct, New Bern, NC 28562-4870 | 2020-08-22 |
1003426388 | Bradley Cecil | Durable Medical Equipment & Medical Supplies | 50 E Main St Ste 100, Thomasville, NC 27360-4000 | 2020-08-03 |
1366067035 | Carolina Hair Loss & Prosthetics | Durable Medical Equipment & Medical Supplies | 1903 N Pine St, Lumberton, NC 28358-3969 | 2020-06-09 |
1275189540 | Et Care Inc | Durable Medical Equipment & Medical Supplies | 500 E Gannon Ave, Zebulon, NC 27597-2776 | 2019-08-13 |
1821656976 | Ashley S Desaix Dds Pa | Durable Medical Equipment & Medical Supplies | 3420 Ten Ten Rd Ste 310, Cary, NC 27518-6101 | 2019-06-04 |
1447719810 | National Seating & Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 8421 Old Statesville Rd Ste 18, Charlotte, NC 28269-1838 | 2019-03-15 |
1821569294 | Atlantic Coast Orthopedic Medical Supplies | Durable Medical Equipment & Medical Supplies | 6510 Northpark Blvd Ste A, Charlotte, NC 28216-2367 | 2018-12-11 |
1215444195 | Monica Lilly | Durable Medical Equipment & Medical Supplies | 123 N Main St Ste A, Norwood, NC 28128-9603 | 2018-01-02 |
1114442563 | Little Fighters, LLC | Durable Medical Equipment & Medical Supplies | 300 Westinghouse Blvd Ste B, Charlotte, NC 28273-6233 | 2017-08-07 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.