Organization Active NPI

Kulp Dermatology P.a.

  • Specialist
  • Cary, NC
National Provider Identifier
1316968639
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
200001403404 Issued in NC
Legal business name
KULP DERMATOLOGY P.A.
Practice address
130 Preston Executive Dr
Ste 204
Cary, NC 27513-8433
Phone
(919) 388-9103
Fax
(919) 388-9701
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Authorized official

Name
Dr. Sheel Desai Solomon
Title
Owner Operator
Phone
(919) 448-5145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 200001403404 NC Primary

Addresses

Primary practice location

130 Preston Executive Dr
Ste 204
Cary, NC 27513-8433

Mailing address

130 Preston Executive Dr
Ste 204
Cary, NC 27513-8433
Phone (919) 388-9103

National Provider Directory

National Provider Directory

Locations

1152 Executive Cir
Ste 200
Cary, NC 27511
Phone (910) 388-9103

1010 High House Rd
Ste 204
Cary, NC 27513
Phone (919) 481-1515

1010 High House Rd
Ste 202
Cary, NC 27513
Phone (919) 388-9103

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1316968639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 PRESTON EXECUTIVE DR",
            "address_2": "STE 204",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138433",
            "telephone_number": "919-388-9103",
            "fax_number": "919-388-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 PRESTON EXECUTIVE DR",
            "address_2": "STE 204",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138433",
            "telephone_number": "919-388-9103",
            "fax_number": "919-388-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KULP DERMATOLOGY P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "SHEEL",
        "authorized_official_middle_name": "DESAI",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "919-448-5145",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "200001403404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.