NPIMap

Organization Active NPI

Carolina Aesthetic and Reconstructive Surgery, PLLC

  • Medical Specialty Clinic/Center
  • Charlotte, NC
National Provider Identifier
1306168497
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
200800118 Issued in NC
Legal business name
CAROLINA AESTHETIC AND RECONSTRUCTIVE SURGERY, PLLC
Practice address
1918 Randolph Rd
Suite 550
Charlotte, NC 28207-1100
Phone
(704) 375-6766
Fax
(704) 332-6552
NPI assigned
Feb 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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

Authorized official

Name
Dr. Maria B Honnebier, MD
Title
Director
Phone
(704) 375-6766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 200800118 NC Primary

Addresses

Primary practice location

1918 Randolph Rd
Suite 550
Charlotte, NC 28207-1100

Mailing address

1918 Randolph Rd
Suite 550
Charlotte, NC 28207-1100
Phone (704) 375-6766

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1306168497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 RANDOLPH RD",
            "address_2": "SUITE 550",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071100",
            "telephone_number": "704-375-6766",
            "fax_number": "704-332-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 RANDOLPH RD",
            "address_2": "SUITE 550",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071100",
            "telephone_number": "704-375-6766",
            "fax_number": "704-332-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA AESTHETIC AND RECONSTRUCTIVE SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "HONNEBIER",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-375-6766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NC",
            "license": "200800118",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 17, 2010; 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.