Organization Active NPI

Carolina ENT Associates, P.a.

  • Specialist
  • Chapel Hill, NC
National Provider Identifier
1255382149
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CAROLINA ENT ASSOCIATES, P.A.
Practice address
55 Vilcom Ctr
Suite 140
Chapel Hill, NC 27514-1689
Phone
(919) 942-7278
Fax
(919) 942-7278
NPI assigned
May 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Authorized official

Name
Dr. Kim Richard Jones, M.D., PH.D.
Title
Physician, Owner
Phone
(919) 942-7278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X NC Primary

Addresses

Primary practice location

55 Vilcom Ctr
Suite 140
Chapel Hill, NC 27514-1689

Mailing address

55 Vilcom Ctr
Suite 140
Chapel Hill, NC 27514-1689
Phone (919) 942-7278

Other identifiers 1

IdentifierTypeStateIssuer
5901779MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1255382149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 VILCOM CTR",
            "address_2": "SUITE 140",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141689",
            "telephone_number": "919-942-7278",
            "fax_number": "919-942-7278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 VILCOM CTR",
            "address_2": "SUITE 140",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141689",
            "telephone_number": "919-942-7278",
            "fax_number": "919-942-7278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA ENT ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PHYSICIAN, OWNER",
        "authorized_official_telephone_number": "919-942-7278",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901779",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.