NPIMap

Organization Active NPI

Piedmont Joint Replacement, Back & Sports Medicine Center, PLLC

  • Specialist
  • Eden, NC
National Provider Identifier
1013025212
Registry record updated Sep 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
31615 Issued in NC
Legal business name
PIEDMONT JOINT REPLACEMENT, BACK & SPORTS MEDICINE CENTER, PLLC
Practice address
110 S Park Ter
Eden, NC 27288-5351
Phone
(336) 623-2623
Fax
(336) 623-7909
NPI assigned
Aug 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Titus Plomaritis Jr., MDNPI 1780603738
Title
Physician
Phone
(336) 623-2623

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 31615 NC Primary

Addresses

Primary practice location

110 S Park Ter
Eden, NC 27288-5351

Mailing address

110 S Park Ter
Eden, NC 27288-5351
Phone (336) 623-2623

Other identifiers 2

IdentifierTypeStateIssuer
0128VOtherNCBCBS OF NC
790128VMedicaidNC

National Provider Directory

National Provider Directory

Locations

110 S Park Ter
Eden, NC 27288
Phone (336) 623-2623

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220313600000",
    "number": "1013025212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S PARK TER",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885351",
            "telephone_number": "336-623-2623",
            "fax_number": "336-623-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S PARK TER",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885351",
            "telephone_number": "336-623-2623",
            "fax_number": "336-623-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT JOINT REPLACEMENT, BACK & SPORTS MEDICINE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2008-09-02",
        "status": "A",
        "authorized_official_last_name": "PLOMARITIS",
        "authorized_official_first_name": "TITUS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "336-623-2623",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "31615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "0128V",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790128V",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.