Charlotte Restoration

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

200400163 Issued in NC

Legal business name

CHARLOTTE RESTORATION

Practice address

5970 Fairview Rd
Suite 215
Charlotte, NC 28210-3167

Phone

(704) 617-2649

NPI assigned

Dec 25, 2015

Organization subpart

No

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

Authorized official

Name

Eric Semeko, M.D.

Title

Physician

Phone

(704) 617-2649

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1451001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451001600000",
    "number": "1285099804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5970 FAIRVIEW RD",
            "address_2": "SUITE 215",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103167",
            "telephone_number": "704-617-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5970 FAIRVIEW RD",
            "address_2": "SUITE 215",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103167",
            "telephone_number": "704-617-2649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE RESTORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-25",
        "last_updated": "2015-12-25",
        "status": "A",
        "authorized_official_last_name": "SEMEKO",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "704-617-2649",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NC",
            "license": "200400163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Medical Specialty Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2015; 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.