RENEW PROSTHETICS AND ORTHOTICS INC. – NPI #1922341544
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.

RENEW PROSTHETICS AND ORTHOTICS INC. is a DME Supplier located in MOORESVILLE, NC. NPPES has assigned the NPI number 1922341544 to RENEW PROSTHETICS AND ORTHOTICS INC. on April 02, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “RENEW PROSTHETICS AND ORTHOTICS INC.” is a dba name, the actual legal business name for this organization is DAVIDSON PROSTHETICS & ORTHOTICS. 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 2 years ago on Mar 08, 2024. 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 RENEW PROSTHETICS AND ORTHOTICS INC. below.

NPI Profile for
DAVIDSON PROSTHETICS & ORTHOTICS

NPI Number
1922341544
Enumeration Date

(more than 13 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
DAVIDSON PROSTHETICS & ORTHOTICS
Doing Business As (dba): RENEW PROSTHETICS AND ORTHOTICS INC.
Primary location
146 MEDICAL PARK RD STE 102
MOORESVILLE, NC 28117-8529
Phone: (704) 765-9837 Fax: (704) 997-2679
Mailing address
PO BOX 650846
DALLAS, TX 75265-0846
Phone: Fax:
Organization Subpart
Yes - RENEW PROSTHETICS AND ORTHOTICS INC. is subpart of another organization.
Authorized Official
GRACE ANGELINE
PROVIDER CONTRACT ANALYST III
Phone: (714) 961-2102
Updated
Certification Date
Mar 08, 2024

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)
332B00000X
- Durable Medical Equipment & Medical Supplies

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.