Organization Active NPI

Carolina Plastic Surgery of Fayetteville PC

  • Plastic Surgery Physician
  • Fayetteville, NC
National Provider Identifier
1245567833
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
200901764 Issued in NC
Legal business name
CAROLINA PLASTIC SURGERY OF FAYETTEVILLE PC
Practice address
2153 Valleygate Dr Ste 103
Fayetteville, NC 28304-3667
Phone
(910) 323-1234
Fax
(910) 323-5444
NPI assigned
Nov 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Authorized official

Name
Saira Saini
Title
Physician
Phone
(910) 323-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 200901764 NC Primary

Addresses

Primary practice location

2153 Valleygate Dr Ste 103
Fayetteville, NC 28304-3667

Mailing address

2153 Valleygate Dr Ste 103
Fayetteville, NC 28304-3667
Phone (910) 323-1234

National Provider Directory

National Provider Directory

Locations

2356 John Smith Rd
Ste 201
Fayetteville, NC 28306
Phone (910) 323-1234

2153 Valleygate Dr
Ste 103
Fayetteville, NC 28304
Phone (910) 323-1234

NPI Registry JSON

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1245567833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2153 VALLEYGATE DR STE 103",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043667",
            "telephone_number": "910-323-1234",
            "fax_number": "910-323-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2153 VALLEYGATE DR STE 103",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043667",
            "telephone_number": "910-323-1234",
            "fax_number": "910-323-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA PLASTIC SURGERY OF FAYETTEVILLE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-03",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "SAINI",
        "authorized_official_first_name": "SAIRA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "910-323-1234"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NC",
            "license": "200901764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.