Individual provider Active NPI

Kao A. Lor, NP-C

  • Nurse Practitioner
  • Gastonia, NC
National Provider Identifier
1285027136
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
230704 Issued in NC
Practice address
1895 Hoffman Rd Ste B
Gastonia, NC 28054-6557
Phone
(704) 861-8669
Fax
(704) 865-5081
NPI assigned
Mar 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 230704 NC Primary

Addresses

Primary practice location

1895 Hoffman Rd Ste B
Gastonia, NC 28054-6557

Mailing address

1895 Hoffman Rd Ste B
Gastonia, NC 28054-6557
Phone (704) 861-8669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150528000924 NC Practitioner - Nurse Practitioner 1658691936 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
23704NCMDPharmacist
230704NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caromont Medical Group Inc CurrentSince May 1, 2015 Accepting new patients
Caromont Medical Group Inc Current Accepting new patients
Caromont Medical Group Inc Current Accepting new patients
Caromont Medical Group Inc CurrentSince May 1, 2015 Accepting new patients

Locations

705 Summit Crossing Pl
Ste 150
Gastonia, NC 28054
Phone (704) 671-5300

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

1895 Hoffman Rd
#A
Gastonia, NC 28054
Phone (704) 865-1749

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

1895 Hoffman Rd
#B
Gastonia, NC 28054
Phone (704) 861-8669

1895 Hoffman Rd
Gastonia, NC 28054
Phone (704) 861-8669

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428364800000",
    "number": "1285027136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 HOFFMAN RD STE B",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280546557",
            "telephone_number": "704-861-8669",
            "fax_number": "704-865-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 HOFFMAN RD STE B",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280546557",
            "telephone_number": "704-861-8669",
            "fax_number": "704-865-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOR",
        "first_name": "KAO",
        "middle_name": "A.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-16",
        "last_updated": "2015-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "230704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.