Active NPI
Kights Medical Corp
- Durable Medical Equipment & Medical Supplies
- Charlotte, NC
National Provider Identifier
1053435180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 00562
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE2019 | Medicaid | SC | |
| 15527 | Other | NC | WELLPATH |
| 0303780332 | Other | NC | DEPT. OF LABOR |
| 0464T | Other | NC | BCBS NC |
National Provider Directory
National Provider Directory- Tax ID family
- Kight'S Medical Corp
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Oxygen Equipment & Supplies (DME)
- Portsmouth, VA
- NPI 1124336532
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.