NPIMap

Organization Active NPI

Piedmont Health Services Inc

Doing business as Carrboro CHC Dental Mobile

  • Federally Qualified Health Center (FQHC)
  • Carrboro, NC
National Provider Identifier
1013555036
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PIEDMONT HEALTH SERVICES INC
Doing business as
Carrboro CHC Dental Mobile
Practice address
301 Lloyd St
Carrboro, NC 27510-1823
Phone
(919) 942-8741
Fax
(919) 942-1473
NPI assigned
Dec 20, 2019
Last updated
Dec 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Authorized official

Name
Lydia Fuse Mason
Title
Cfo
Phone
(919) 933-8494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

301 Lloyd St
Carrboro, NC 27510-1823

Mailing address

PO Box 17179
Chapel Hill, NC 27516-7179
Phone (919) 933-8494

Other names 1

  • Carrboro CHC Dental Mobile Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Piedont Health Services33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576800000000",
    "number": "1013555036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17179",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275167179",
            "telephone_number": "919-933-8494",
            "fax_number": "919-933-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 LLOYD ST",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275101823",
            "telephone_number": "919-942-8741",
            "fax_number": "919-942-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-20",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "FUSE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "919-933-8494"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carrboro CHC Dental Mobile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.