Organization Active NPI

Centralina Orthopaedic and Sports Medicine

  • Specialist
  • Salisbury, NC
National Provider Identifier
1225073430
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
33453 Issued in NC
Legal business name
CENTRALINA ORTHOPAEDIC AND SPORTS MEDICINE
Practice address
400 Mocksville Ave
Salisbury, NC 28144-2712
Phone
(704) 633-6044
NPI assigned
Jun 19, 2006
Last updated
Aug 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Authorized official

Name
William S Furr, MD
Title
President
Phone
(704) 633-6044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 33453 NC Primary

Addresses

Primary practice location

400 Mocksville Ave
Salisbury, NC 28144-2712

Mailing address

400 Mocksville Ave
Salisbury, NC 28144-2712
Phone (704) 633-6044

Other identifiers 1

IdentifierTypeStateIssuer
890128TMedicaidNC

National Provider Directory

National Provider Directory

Locations

400 Mocksville Ave
Salisbury, NC 28144
Phone (704) 633-6044

400 Mocksville Ave
Ste A
Salisbury, NC 28144
Phone (704) 633-6044

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628812800000",
    "number": "1225073430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MOCKSVILLE AVE",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442712",
            "telephone_number": "704-633-6044",
            "fax_number": "704-633-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MOCKSVILLE AVE",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442712",
            "telephone_number": "704-633-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRALINA ORTHOPAEDIC AND SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A",
        "authorized_official_last_name": "FURR",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-633-6044",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "33453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890128T",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; 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.