COUNTRY COBBLER, LTD.
NPI 1780646653
Prosthetic/Orthotic Supplier in Wilmington, NC

Q: What is Country Cobbler, Ltd.'s NPI number?

The NPI number for Country Cobbler, Ltd. is 1780646653. It was assigned to this organization in the NPPES registry on April 5, 2006.

Q: What is Country Cobbler, Ltd.'s specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Active since April 05, 2006

3501 OLEANDER DR, SUITE 11, WILMINGTON, NC 28403(910) 772-9994(910) 772-1262 Get Directions Write a Review

NPPES record last updated: September 18, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Country Cobbler, Ltd. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COUNTRY COBBLER, LTD. (NPI 1780646653) is a healthcare organization registered as a prosthetic/orthotic supplier in Wilmington, North Carolina and active in the NPI registry since April 2006. The organization lists Mark Allen Mantey, Diabetic Shoe Program Facilitator, as its authorized official.

NPPES Registry Identity

NPI1780646653

Entity TypeOrganization

Primary Taxonomy335E00000X

Legal Business NameCOUNTRY COBBLER, LTD.

Location Address3501 OLEANDER DR, SUITE 11Wilmington, NC 28403-0824

Mailing Address3501 Oleander Dr, Suite 11Wilmington, NC 28403-0824 · (910) 772-9994 · Fax (910) 772-1262

Phone(910) 772-9994

Fax(910) 772-1262

Organization SubpartNo

Authorized OfficialMark Allen ManteyDiabetic Shoe Program Facilitator · (910) 772-9994

Enumeration DateApril 5, 2006

Last NPPES UpdateSeptember 18, 2015

✔ NPI 1780646653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers

Taxonomy Code335E00000X

License✔ Licensed in NC · 00992

Definition

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.

3501 OLEANDER DR, Wilmington, NC 28403

Open in Google Maps ↗

Other Identifiers 2

Medicaid7704409NC

Medicare NSC4649710001NC

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NEHA K DALAL O.D

Optometrist

3501 OLEANDER DR
WILMINGTON, NC 28403

New Hanover County (910) 254-9292

WALGREEN CO

Pharmacy

3501 OLEANDER DR
WILMINGTON, NC 28403

New Hanover County (910) 763-3367

WALGREEN CO

Pharmacy

3501 OLEANDER DR, HANOVER CENTER
WILMINGTON, NC 28403

New Hanover County (910) 763-3367

MR. JOSEPH CROCKETT SHAFFER II

Pharmacist

3501 OLEANDER DR
WILMINGTON, NC 28403

New Hanover County (910) 762-6300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Country Cobbler, Ltd.'s NPI number?

The NPI number for Country Cobbler, Ltd. is 1780646653. It was assigned to this organization in the NPPES registry on April 5, 2006.

Where is Country Cobbler, Ltd. located?

Country Cobbler, Ltd. is located at 3501 Oleander Dr Suite 11, Wilmington, NC 28403. The listed phone number is (910) 772-9994.

What is Country Cobbler, Ltd.'s specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Country Cobbler, Ltd. was last updated on September 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.