Active NPI
Carolina Anti-Aging and Neuropathy, PLLC
- Multi-Specialty Clinic/Center
- Denver, NC
National Provider Identifier
1215377387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- License
- 190034
- Legal business name
- CAROLINA ANTI-AGING AND NEUROPATHY, PLLC
- Practice address
- 7476 Waterside Loop Rd
Suite 600
Denver, NC 28037-7679 - Phone
- (704) 822-5433
- Fax
- (704) 822-5997
- NPI assigned
- Jul 3, 2013
- Last updated
- Jul 3, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Debra D. Powell, PA-C
- Title
- Owner
- Phone
- (704) 822-5433
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | 190034 | NC | Primary |
Addresses
Primary practice location
7476 Waterside Loop Rd
Suite 600
Denver, NC 28037-7679
Mailing address
7476 Waterside Loop Rd
Suite 600
Denver, NC 28037-7679
Phone (704) 822-5433
National Provider Directory
National Provider Directory- Tax ID family
- Carolina Anti Aging and Neuropathy PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Multi-Specialty Clinic/Center
- Shelby, NC
- NPI 1831530773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1372809600000",
"number": "1215377387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7476 WATERSIDE LOOP RD",
"address_2": "SUITE 600",
"city": "DENVER",
"state": "NC",
"postal_code": "280377679",
"telephone_number": "704-822-5433",
"fax_number": "704-822-5997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7476 WATERSIDE LOOP RD",
"address_2": "SUITE 600",
"city": "DENVER",
"state": "NC",
"postal_code": "280377679",
"telephone_number": "704-822-5433",
"fax_number": "704-822-5997"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA ANTI-AGING AND NEUROPATHY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-03",
"last_updated": "2013-07-03",
"status": "A",
"authorized_official_last_name": "POWELL",
"authorized_official_first_name": "DEBRA",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-822-5433",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "NC",
"license": "190034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, NC
- Jennifer Louise Bushey Colyer, MD
- Katelynn Marie Canipe, LCMHCA, NCC
- Caremor Family Pharmacy Inc
- Caremor Family Pharmacy Inc
- Thomas Vincent Carnaggio, D.M.D.
- Carolina Ear, Nose & Throat Head and Neck Surgery Center, P.a.
- Carolina Eye Care of Lincoln County Optometry PLLC
- Carolina Physical Therapy Associates LLC (CORA Physical Therapy - Denver)
- Carolinas Imaging Services LLC
- Carolinas Internal Medicine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.