NPIMap

Organization Active NPI

Digitrace Care Services Inc

  • Durable Medical Equipment & Medical Supplies
  • Charlotte, NC
National Provider Identifier
1265619795
Registry record updated Oct 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DIGITRACE CARE SERVICES INC
Practice address
5550 77 Center Dr
Suite 240
Charlotte, NC 28217-0738
Phone
(704) 523-3489
NPI assigned
Jan 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2009

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

Authorized official

Name
Carl Iberger
Title
Evp/Cfo
Phone
(978) 536-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

5550 77 Center Dr
Suite 240
Charlotte, NC 28217-0738

Mailing address

60 Chastain Center Blvd NW
Suite 66
Kennesaw, GA 30144-5598
Phone (770) 592-5544

Other identifiers 1

IdentifierTypeStateIssuer
7618325OtherAETNA

National Provider Directory

National Provider Directory
Tax ID family
Digitrace Care Services Inc53 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 6

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255564800000",
    "number": "1265619795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CHASTAIN CENTER BLVD NW",
            "address_2": "SUITE 66",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301445598",
            "telephone_number": "770-592-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 77 CENTER DR",
            "address_2": "SUITE 240",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282170738",
            "telephone_number": "704-523-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGITRACE CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2009-10-15",
        "status": "A",
        "authorized_official_last_name": "IBERGER",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "EVP/CFO",
        "authorized_official_telephone_number": "978-536-7400"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7618325",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.