Organization Active NPI

Kights Medical Corp

  • Durable Medical Equipment & Medical Supplies
  • Charlotte, NC
National Provider Identifier
1053435180
Registry record updated Jul 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
00562 Issued in NC
Legal business name
KIGHTS MEDICAL CORP
Practice address
572 Griffith Rd
Charlotte, NC 28217-3546
Phone
(800) 848-1179
Fax
(704) 525-6225
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2009

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

Authorized official

Name
John A Kight, RPH
Title
Ceo President
Phone
(919) 878-6666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 00562 NC Primary

Addresses

Primary practice location

572 Griffith Rd
Charlotte, NC 28217-3546

Mailing address

3222 Wellington CT
Ste. a
Raleigh, NC 27615-4124
Phone (919) 878-6666

Other identifiers 4

IdentifierTypeStateIssuer
DE2019MedicaidSC
15527OtherNCWELLPATH
0303780332OtherNCDEPT. OF LABOR
0464TOtherNCBCBS NC

National Provider Directory

National Provider Directory
Tax ID family
Kight'S Medical Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

572 Griffith Rd
Charlotte, NC 28217
Phone (800) 848-1179

3222 Wellington Ct
Ste A
Raleigh, NC 27615
Phone (919) 878-6666

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248134400000",
    "number": "1053435180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3222 WELLINGTON CT",
            "address_2": "STE. A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154124",
            "telephone_number": "919-878-6666",
            "fax_number": "919-878-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 GRIFFITH RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282173546",
            "telephone_number": "800-848-1179",
            "fax_number": "704-525-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIGHTS MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2009-07-21",
        "status": "A",
        "authorized_official_last_name": "KIGHT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "919-878-6666",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "00562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2019",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLPATH",
            "identifier": "15527",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF LABOR",
            "identifier": "0303780332",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "0464T",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; 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.