Organization Active NPI

Birth Tissue Recovery

  • Eye Bank
  • Winston Salem, NC
National Provider Identifier
1326495169
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eye BankTaxonomy code 332G00000X
Legal business name
BIRTH TISSUE RECOVERY
Practice address
751 Bethesda Rd
Suite D
Winston Salem, NC 27103-3300
Phone
(336) 448-1910
Fax
(336) 448-1911
NPI assigned
May 23, 2016
Last updated
May 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Authorized official

Name
Mr. Kurt R. Weber, M.A., M.B.A.
Title
President/Ceo
Phone
(336) 705-0250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eye Bank 332G00000X Primary

Addresses

Primary practice location

751 Bethesda Rd
Suite D
Winston Salem, NC 27103-3300

Mailing address

751 Bethesda Rd
Suite D
Winston Salem, NC 27103-3300
Phone (336) 448-1910

National Provider Directory

National Provider Directory

Locations

751 Bethesda Rd
Ste D
Winston Salem, NC 27103
Phone (336) 448-1910

NPI Registry JSON

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1326495169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 BETHESDA RD",
            "address_2": "SUITE D",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033300",
            "telephone_number": "336-448-1910",
            "fax_number": "336-448-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 BETHESDA RD",
            "address_2": "SUITE D",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033300",
            "telephone_number": "336-448-1910",
            "fax_number": "336-448-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRTH TISSUE RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-23",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "336-705-0250",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A., M.B.A."
    },
    "taxonomies": [
        {
            "code": "332G00000X",
            "taxonomy_group": "",
            "desc": "Eye Bank",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.