Organization Active NPI

Amanda Dorn, MD, PLLC

  • Medical Specialty Clinic/Center
  • Chapel Hill, NC
National Provider Identifier
1114679362
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
AMANDA DORN, MD, PLLC
Practice address
101 Europa Dr Ste 170
Chapel Hill, NC 27517-2378
Phone
(919) 928-0144
Fax
(919) 928-0145
NPI assigned
Jan 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Authorized official

Name
Dr. Amanda Stine Dorn, MDNPI 1336285626
Title
Psychiatrist/Manager
Phone
(919) 928-0144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

101 Europa Dr Ste 170
Chapel Hill, NC 27517-2378

Mailing address

101 Europa Dr Ste 170
Chapel Hill, NC 27517-2378
Phone (919) 928-0144

National Provider Directory

National Provider Directory

Locations

101 Europa Dr
Ste 170
Chapel Hill, NC 27517
Phone (919) 928-0144

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1114679362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 EUROPA DR STE 170",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275172378",
            "telephone_number": "919-928-0144",
            "fax_number": "919-928-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 EUROPA DR STE 170",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275172378",
            "telephone_number": "919-928-0144",
            "fax_number": "919-928-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA DORN, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "DORN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "STINE",
        "authorized_official_title_or_position": "PSYCHIATRIST/MANAGER",
        "authorized_official_telephone_number": "919-928-0144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.