DAVIDSON PROSTHETICS & ORTHOTICS (NPI# 1982202545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982202545 |
| Entity Type | Organization |
| Organization Name | DAVIDSON PROSTHETICS & ORTHOTICS |
| Practice Address |
845 Church St N Ste 205 Concord NC 28025-4374 |
| Mailing Address |
146 Medical Park Rd Ste 102 Mooresville NC 28117-8529 |
| Practice Telephone | 7044678000 |
| Mailing Telephone | 7047659837 |
| Mailing Fax Number | 7049972679 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |
| Authorized Official Name | MARTHA E MATTHEWS (PRESIDENT/OWNER) |
| Authorized Official Telephone | 7047659837 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Other Name | Type Code |
|---|---|
| Renew Prosthetics and Orthotics | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DAVIDSON PROSTHETICS & ORTHOTICS, INC. | 428-D S Main St, Davidson, NC 28036-7012 |
| Street Address |
845 CHURCH ST N STE 205 |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-4374 |
| 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 | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477042489 | New England Orthotic & Prosthetic Systems, LLC | Prosthetic/Orthotic Supplier | 801 Main St Ste 8, Concord, MA 01742-3319 | 2018-05-04 |
| 1518193010 | Level Four Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 470 Lake Concord Rd Ne, Concord, NC 28025-2965 | 2009-06-10 |
| 1346426954 | Laurence of Oakland | Prosthetic/Orthotic Supplier | 2190 Meridian Park Blvd Ste E, Concord, CA 94520-5715 | 2008-01-14 |
| 1750565479 | Granite State Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 280 Pleasant St Ste 3, Concord, NH 03301-2553 | 2007-12-18 |
| 1154406171 | Economy Medical Inc | Prosthetic/Orthotic Supplier | 4025 Nelson Avenue, Economy Medical Inc, Concord, CA 94520 | 2006-10-26 |
| 1750386009 | New England Brace Co., Inc. | Prosthetic/Orthotic Supplier | 171 Pleasant St, Suite 102, Concord, NH 03301-2547 | 2005-06-14 |
| 1043819162 | Kandy Mae Dennison | Prosthetic/Orthotic Supplier | 83 S Main St, Concord, NH 03301-4816 | 2020-10-20 |
| 1841562287 | Capital Orthotics & Prosthetics, LLC | Prosthetic/Orthotic Supplier | 246 Pleasant St, Suite 200, Concord, NH 03301-2548 | 2012-02-01 |
| 1437338522 | Concord Prosthetics and Orthotics | Prosthetic/Orthotic Supplier | 801 Main St, Suite 8, Concord, MA 01742-3313 | 2007-10-25 |
| 1881716264 | Stella E Hogan | Prosthetic/Orthotic Supplier | 83 S Main St, Concord, NH 03301-4816 | 2007-04-04 |
| Find all providers in CONCORD | ||||
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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.