Mecklenburg Pulmonary Specialists, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

9400640 Issued in NC

Legal business name

MECKLENBURG PULMONARY SPECIALISTS, PLLC

Practice address

2711 Randolph Rd
Ste 208
Charlotte, NC 28207-2034

Phone

(704) 926-5433

Fax

(704) 926-5460

NPI assigned

Mar 19, 2007

Last updated

Feb 5, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carl Smart, M.D.

Title

Owner

Phone

(704) 926-5469

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1184748519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 RANDOLPH RD",
            "address_2": "STE 208",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282072034",
            "telephone_number": "704-926-5433",
            "fax_number": "704-926-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 RANDOLPH RD",
            "address_2": "STE 208",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282072034",
            "telephone_number": "704-926-5433",
            "fax_number": "704-926-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MECKLENBURG PULMONARY SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "SMART",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-926-5469",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "9400640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8977165",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mecklenburg Open Door, Inc./FF
• Mecklenburg Open Door, Inc/RS
• Mecklenburg Open Door/Charlottetown Clinic
• Mecklenburg Open Door/Park Seneca Clinic
• Mecklenburg Psychological Group
• Mecklenburg Radiology Associates, P.a.
• Med First Immediate Care & Family Practice, PA
• Med Tech, LLC (Med Tech)
• Med Xpress
• Ryan A Medas, PT

• Specialist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.