Active NPI
El Futuro, Inc
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Durham, NC
National Provider Identifier
1043449093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- EL FUTURO, INC
- Practice address
- 2020 Chapel Hill Rd.
Ste 23
Durham, NC 27707-2770 - Phone
- (919) 968-8710
- Fax
- (919) 688-7102
- NPI assigned
- Jul 13, 2009
- Last updated
- Jan 14, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Luke Smith, MD
- Title
- Executive Director
- Phone
- (919) 688-7101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
2020 Chapel Hill Rd.
Ste 23
Durham, NC 27707-2770
Mailing address
136 E Chapel Hill St
Durham, NC 27701-3202
Phone (919) 688-7101
Other practice location 1
136 E Chapel Hill St
Durham, NC 27701-3202
Phone (919) 688-7101
Other practice location 2
401 N Ivey Ave
Siler City, NC 27344-3074
Phone (919) 688-7101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5905592 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110311000593 | NC | Part B Supplier - Clinic/Group Practice | 3971785940 |
Receives reassigned benefits from 4 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Durham, NC; Siler City, NC |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Durham, NC
- NPI 1790803898
O20110311000593
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247443200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1547424000000",
"number": "1043449093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 E CHAPEL HILL ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277013202",
"telephone_number": "919-688-7101",
"fax_number": "919-688-7102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 CHAPEL HILL RD.",
"address_2": "STE 23",
"city": "DURHAM",
"state": "NC",
"postal_code": "277072770",
"telephone_number": "919-968-8710",
"fax_number": "919-688-7102"
}
],
"practiceLocations": [
{
"address_1": "136 E Chapel Hill St",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277013202",
"country_code": "US",
"telephone_number": "919-688-7101",
"fax_number": "919-688-7102",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "401 N Ivey Ave",
"address_purpose": "LOCATION",
"city": "Siler City",
"state": "NC",
"postal_code": "273443074",
"country_code": "US",
"telephone_number": "919-688-7101",
"fax_number": "919-688-7102",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EL FUTURO, INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-13",
"last_updated": "2019-01-14",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "LUKE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "919-688-7101",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5905592",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.