Organization Active NPI

Triangle Spine and Back Care Center, PLLC

  • Orthopaedic Surgery of the Spine Physician
  • Raleigh, NC
National Provider Identifier
1255549804
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
35960 Issued in NC
Legal business name
TRIANGLE SPINE AND BACK CARE CENTER, PLLC
Practice address
3320 Wake Forest Rd
Suite 430
Raleigh, NC 27609-7300
Phone
(919) 876-7676
Fax
(919) 876-7163
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Authorized official

Name
Dr. William Francis Lestini, M.D.
Title
Physician/Owner
Phone
(919) 876-7676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0117X 35960 NC Primary

Addresses

Primary practice location

3320 Wake Forest Rd
Suite 430
Raleigh, NC 27609-7300

Mailing address

3320 Wake Forest Rd
Suite 430
Raleigh, NC 27609-7300
Phone (919) 876-7676

Other identifiers 2

IdentifierTypeStateIssuer
02196OtherNCBCBS GROUP
7902196MedicaidNC

National Provider Directory

National Provider Directory

Locations

3320 Wake Forest Rd
Ste 430
Raleigh, NC 27609
Phone (919) 876-7673

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1255549804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 WAKE FOREST RD",
            "address_2": "SUITE 430",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097300",
            "telephone_number": "919-876-7676",
            "fax_number": "919-876-7163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 WAKE FOREST RD",
            "address_2": "SUITE 430",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097300",
            "telephone_number": "919-876-7676",
            "fax_number": "919-876-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIANGLE SPINE AND BACK CARE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "LESTINI",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "919-876-7676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NC",
            "license": "35960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "02196",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7902196",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; 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.