Organization Active NPI

Facials and Fillers Aesthetic Center PLLC

  • Plastic Surgery Physician
  • Morehead City, NC
National Provider Identifier
1124576186
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
FACIALS AND FILLERS AESTHETIC CENTER PLLC
Practice address
5056 Hwy 70 W
Suite a
Morehead City, NC 28557-4502
Phone
(252) 240-3223
NPI assigned
Sep 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Authorized official

Name
William Hall, MD
Title
Owner
Phone
(252) 240-3223

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS1201X
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

5056 Hwy 70 W
Suite a
Morehead City, NC 28557-4502

Mailing address

5056 Hwy 70 W
Suite a
Morehead City, NC 28557-4502
Phone (252) 240-3223

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1124576186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5056 HWY 70 W",
            "address_2": "SUITE A",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574502",
            "telephone_number": "252-240-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5056 HWY 70 W",
            "address_2": "SUITE A",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574502",
            "telephone_number": "252-240-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACIALS AND FILLERS AESTHETIC CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-19",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-240-3223",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.