Dare Medical Associates

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

19609 Issued in NC

Legal business name

DARE MEDICAL ASSOCIATES

Practice address

604 Amanda St
Manteo, NC 27954

Phone

(252) 473-3478

Fax

(252) 473-3600

NPI assigned

Mar 22, 2006

Organization subpart

No

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

Authorized official

Name

Walter L Holton, MD

Title

Owner

Phone

(252) 473-3478

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ann C. Sumners, M. D.

  • Family Medicine Physician
  • Manteo, NC
  • NPI 1922180504
  NPD (past)

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1083673511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1045",
            "city": "MANTEO",
            "state": "NC",
            "postal_code": "279541045",
            "telephone_number": "252-473-3478",
            "fax_number": "252-473-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 AMANDA ST",
            "city": "MANTEO",
            "state": "NC",
            "postal_code": "27954",
            "telephone_number": "252-473-3478",
            "fax_number": "252-473-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARE MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "HOLTON",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-473-3478",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "19609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901408",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01408",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Paul Cicinato, DDS
• Coastal Rehabilitation Inc
• Janice Fletcher Culpepper, LPC
• Dare County Administrative Offices
• Dare Medical & Cardiovascular Associates
• Latesha Drake
• Elizabeth C. Gamiel
• Johnny Lee Farrow, M.D.
• Finding Shalom Counseling
• Nicholas Lewis Frank, CRNA

• Family Medicine Physician in Manteo, NC
• Providers in Manteo, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.