Organization Active NPI

Pineiro Family Practice, PLLC

  • Family Medicine Physician
  • Brevard, NC
National Provider Identifier
1306006440
Registry record updated Jun 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
NC200201299 Issued in NC
Legal business name
PINEIRO FAMILY PRACTICE, PLLC
Practice address
342 S Caldwell St
Brevard, NC 28712-3902
Phone
(828) 883-8181
Fax
(828) 883-8711
NPI assigned
Jun 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2009

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

Authorized official

Name
Dr. Minerva Pineiro, M.D.NPI 1255382669
Title
Provider
Phone
(828) 883-8181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X NC200201299 NC Primary

Addresses

Primary practice location

342 S Caldwell St
Brevard, NC 28712-3902

Mailing address

342 S Caldwell St
Brevard, NC 28712-3902
Phone (828) 883-8181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090317000648 NC Part B Supplier - Clinic/Group Practice 0840357992 Receives reassigned benefits from 1 practitioner
Practice locations: Brevard, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D1102384Pineiro Family Practice342 S Caldwell St, Brevard, NC 28712Provider-performed microscopyJul 16, 2027

National Provider Directory

National Provider Directory

Locations

342 S Caldwell St
Brevard, NC 28712
Phone (828) 883-8181

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244419200000",
    "number": "1306006440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 S CALDWELL ST",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287123902",
            "telephone_number": "828-883-8181",
            "fax_number": "828-883-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 S CALDWELL ST",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287123902",
            "telephone_number": "828-883-8181",
            "fax_number": "828-883-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEIRO FAMILY PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2009-06-08",
        "status": "A",
        "authorized_official_last_name": "PINEIRO",
        "authorized_official_first_name": "MINERVA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "828-883-8181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "NC200201299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brevard, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.