Organization Active NPI

El Futuro, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Durham, NC
National Provider Identifier
1043449093
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5905592MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.