DAVIDSON PROSTHETICS & ORTHOTICS NPI 1982202545

NPI Information

NPI: 1982202545
Provider Name: DAVIDSON PROSTHETICS & ORTHOTICS
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Doing Business As: RENEW PROSTHETICS AND ORTHOTICS
Address: 845 CHURCH ST N STE 205
CONCORD, NC
ZIP 28025
Phone: (704) 467-8000

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NPI Details

DAVIDSON PROSTHETICS & ORTHOTICS is a prosthetic orthotic supplier in Concord, NC. The provider is 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. DAVIDSON PROSTHETICS & ORTHOTICS NPI is 1982202545. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Renew Prosthetics And Orthotics.

The provider's business location address is:

845 CHURCH ST N STE 205
CONCORD, NC
ZIP 28025-374
Phone: (704) 467-8000

The provider's authorized official is Grace Angeline .
The authorized official title is Provider Contract Analyst Iii and has the following contact phone number (714) 961-2102.

The enumeration date for this NPI number is 10/15/2020 and was last updated on 3/5/2024.

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	Primary
1	222Z00000X	Orthotist		No
2	224P00000X	Prosthetist		No
3	332B00000X	Durable Medical Equipment & Medical Supplies		No
4	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	No
5	335E00000X	Prosthetic/Orthotic Supplier		Yes

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: 11/21/2025

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