ROYAL ORTHOTICS LLC NPI 1043667025

NPI Information

NPI: 1043667025
Provider Name: ROYAL ORTHOTICS, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
1028 LEE ANN DR NE
STE 50
CONCORD, NC
ZIP 28025
Phone: (980) 781-1521
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ROYAL ORTHOTICS, LLC is a customized equipment durable medical equipment medical supplies in Concord, NC. ROYAL ORTHOTICS, LLC NPI is 1043667025. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1028 LEE ANN DR NE
STE 50
CONCORD, NC
ZIP 28025-903
Phone: (980) 781-1521
Fax: (980) 781-1526

The provider's authorized official is Corey Pena .
The authorized official title is Owner/certified Orthotist and has the following contact phone number (980) 781-1521.

The enumeration date for this NPI number is 5/19/2016 and was last updated on 9/21/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	222Z00000X	Orthotist				No
2	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7540810001	MEDICARE NSC	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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