NPIMap

Organization Active NPI

Tall Oaks Family Practice

  • Family Medicine Physician
  • Mooresville, NC
National Provider Identifier
1235198482
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
101555 Issued in NC
Legal business name
TALL OAKS FAMILY PRACTICE
Practice address
798 Oak Ridge Farm Rd.
Suite a
Mooresville, NC 28115
Phone
(704) 658-0011
Fax
(704) 658-0012
NPI assigned
Mar 17, 2006
Last updated
May 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2010

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

Authorized official

Name
Mr. Kevin B Vanhoy, P.A.C.NPI 1659374833
Title
Owner, Provider
Phone
(704) 658-0011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 101555 NC Primary

Addresses

Primary practice location

798 Oak Ridge Farm Rd.
Suite a
Mooresville, NC 28115

Mailing address

798 Oak Ridge Farm Rd.
Suite a
Mooresville, NC 28115
Phone (704) 658-0011

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1235198482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "798 OAK RIDGE FARM RD.",
            "address_2": "SUITE A",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "28115",
            "telephone_number": "704-658-0011",
            "fax_number": "704-658-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 OAK RIDGE FARM RD.",
            "address_2": "SUITE A",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "28115",
            "telephone_number": "704-658-0011",
            "fax_number": "704-658-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALL OAKS FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "VANHOY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER, PROVIDER",
        "authorized_official_telephone_number": "704-658-0011",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.A.C."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "101555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.