OrganizationActive
Country Cobbler, Ltd.
NPI 1780646653 · Prosthetic/Orthotic Supplier · Wilmington, NC
Country Cobbler, Ltd. is a Prosthetic/Orthotic Supplier organization in Wilmington, NC (NPI 1780646653).
Provider details
- NPI number
- 1780646653
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Mark Mantey, Diabetic Shoe Program Facilitator(910) 772-9994
- License
- 00992 (NC)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3501 Oleander Dr
Suite 11
Wilmington, NC 28403-0824
Phone: (910) 772-9994
Fax: (910) 772-1262
Street-level locationGet directions
Mailing address
3501 Oleander Dr
Wilmington, NC 28403-0824
Registry dates
- Enumerated
- 2006-04-05
- Last updated
- 2015-09-18
Frequently asked questions
- What is Country Cobbler, Ltd.'s NPI number?
- Country Cobbler, Ltd.'s National Provider Identifier (NPI) is 1780646653, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Country Cobbler, Ltd.?
- Country Cobbler, Ltd. is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Country Cobbler, Ltd. located?
- Country Cobbler, Ltd.'s practice location on file with NPPES is 3501 Oleander Dr, Wilmington, NC 28403-0824.
- What is Country Cobbler, Ltd.'s phone number?
- The practice phone number listed in the NPPES registry for Country Cobbler, Ltd. is (910) 772-9994.
- Who is the authorized official for Country Cobbler, Ltd.?
- The authorized official listed on Country Cobbler, Ltd.'s NPPES record is Mark Mantey, Diabetic Shoe Program Facilitator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Country Cobbler, Ltd.'s NPI active?
- Yes — Country Cobbler, Ltd.'s NPI (1780646653) is active in the NPPES registry as of the last update on 2015-09-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.