Organization Active NPI

Veincare of Central North Carolina PLLC

  • Medical Specialty Clinic/Center
  • Raleigh, NC
National Provider Identifier
1134300585
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
27639 Issued in NC
Legal business name
VEINCARE OF CENTRAL NORTH CAROLINA PLLC
Practice address
10224 Durant Rd
Suite 109
Raleigh, NC 27614-6468
Phone
(919) 844-4444
Fax
(919) 803-0523
NPI assigned
Nov 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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

Authorized official

Name
Dr. Jane S Smith, MD
Title
Medical Director
Phone
(919) 844-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 27639 NC Primary

Addresses

Primary practice location

10224 Durant Rd
Suite 109
Raleigh, NC 27614-6468

Mailing address

10224 Durant Rd
Suite 109
Raleigh, NC 27614-6468
Phone (919) 844-4444

National Provider Directory

National Provider Directory

Locations

10224 Durant Rd
Ste 109
Raleigh, NC 27614
Phone (919) 601-5540

160 Mine Lake Ct
#100
Raleigh, NC 27615
Phone (919) 844-4444

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438300800000",
    "number": "1134300585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10224 DURANT RD",
            "address_2": "SUITE 109",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146468",
            "telephone_number": "919-844-4444",
            "fax_number": "919-803-0523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10224 DURANT RD",
            "address_2": "SUITE 109",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146468",
            "telephone_number": "919-844-4444",
            "fax_number": "919-803-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEINCARE OF CENTRAL NORTH CAROLINA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2015-07-31",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "919-844-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NC",
            "license": "27639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; 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.