Central Carolina Nephrology PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CENTRAL CAROLINA NEPHROLOGY PA

Practice address

200 Medical Park Dr
Ste 320
Concord, NC 28025-2982

Phone

(704) 786-7770

Fax

(704) 788-9351

NPI assigned

Feb 21, 2006

Last updated

Aug 22, 2020By 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

Mr. William Kenneth Halstenberg, MDNPI 1699770685

Title

President

Phone

(704) 786-7770

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William K Halstenberg, MD

  • Internal Medicine Physician
  • Asheville, NC
  • NPI 1699770685
  NPD (past) Authorized official
• Humaira Khawaja Chaudhary, M.D.

  • Nephrology Physician
  • Sugar Land, TX
  • NPI 1912904996
  NPD (past)
• Jane Ellen Drenkhahn, M.D.

  • Nephrology Physician
  • Cincinnati, OH
  • NPI 1316944382
  NPD (past)

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205801412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PARK DR",
            "address_2": "STE 320",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252982",
            "telephone_number": "704-786-7770",
            "fax_number": "704-788-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PARK DR",
            "address_2": "STE 320",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252982",
            "telephone_number": "704-786-7770",
            "fax_number": "704-788-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CAROLINA NEPHROLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALSTENBERG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-786-7770",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890213H",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "0213H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Center Fo Emotional Health
• Center for Conscious Change PLLC
• Scott Centers, MD
• Central Carolina Access Center
• Central Carolina Dialysis Centers LLC (Copperfield Dialysis)
• Nirmala Gautam Century, FNP-C
• Raju Bishwakarma Century, MD
• Marcela Chaguancalle
• April Morris Chalk, OTR/L
• Angela Chambers

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.