DUKE ORTHOPAEDICS OF RALEIGH – NPI #1417407545
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.

DUKE ORTHOPAEDICS OF RALEIGH is a DME Supplier located in RALEIGH, NC. NPPES has assigned the NPI number 1417407545 to DUKE ORTHOPAEDICS OF RALEIGH on October 13, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DUKE ORTHOPAEDICS OF RALEIGH” is a dba name, the actual legal business name for this organization is PRIVATE DIAGNOSTIC CLINIC, PLLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 335E00000X from the Health Care Provider Taxonomy code set, which is classified as Prosthetic/Orthotic Supplier.

The NPI profile was previously updated about 4 years ago on May 18, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DUKE ORTHOPAEDICS OF RALEIGH below.

NPI Profile for
PRIVATE DIAGNOSTIC CLINIC, PLLC

NPI Number
1417407545
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRIVATE DIAGNOSTIC CLINIC, PLLC
Doing Business As (dba): DUKE ORTHOPAEDICS OF RALEIGH
Primary location
3480 WAKE FOREST RD
SUITE 204
RALEIGH, NC 27609-7376
Phone: (919) 862-5093 Fax: (919) 862-5605
Mailing address
PO BOX 110566
DURHAM, NC 27709-5566
Phone: (919) 620-4855 Fax: (919) 620-4921
Organization Subpart
No
Authorized Official
CHRISTOPHER FREDERICK
CFO
Phone: (919) 613-7762
Updated
Certification Date
May 18, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
335E00000X
- Prosthetic/Orthotic Supplier (Primary)
207XX0005X
- Orthopaedic Surgery / Sports Medicine
207X00000X
- Orthopaedic Surgery

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.