NPIMap

Organization Active NPI

Tylah No.1

  • Clinic/Center
  • Oxford, NC
National Provider Identifier
1104050442
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
FCL-039-010 Issued in NC
Legal business name
TYLAH NO.1
Practice address
308 Sycamore St
Oxford, NC 27565-3508
Phone
(919) 693-8299
NPI assigned
May 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Authorized official

Name
Mr. Dennis Spencer
Title
Administrator
Phone
(919) 693-8299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X FCL-039-010 NC Primary

Addresses

Primary practice location

308 Sycamore St
Oxford, NC 27565-3508

Mailing address

308 Sycamore St
Oxford, NC 27565-3508
Phone (919) 693-8299

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1104050442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 SYCAMORE ST",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275653508",
            "telephone_number": "919-693-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 SYCAMORE ST",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275653508",
            "telephone_number": "919-693-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLAH NO.1",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-13",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-693-8299",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "FCL-039-010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.