Active NPI
El Futuro, Inc.
- Psychiatry Physician
- Siler City, NC
National Provider Identifier
1346576667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- EL FUTURO, INC.
- Practice address
- 319 E 3Rd St
Siler City, NC 27344-3231 - Phone
- (919) 688-7101
- Fax
- (919) 688-7102
- NPI assigned
- Oct 21, 2009
- Organization subpart
- Yes
- Parent organization
- EL FUTURO, INC.
Authorized official
NPPES NPI Registry- Name
- Dr. David Lucas Smith, M.D.
- Title
- Executive Director
- Phone
- (919) 338-1939
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Durham, NC
- NPI 1043449093
O20110311000593
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Durham, NC
- NPI 1790803898
O20110311000593
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110311000593 | NC | Part B Supplier - Clinic/Group Practice | 3971785940 |
Receives reassigned benefits from 4 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Durham, NC; Siler City, NC |
National Provider Directory
National Provider Directory- Part of
- El Futuro Inc
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
319 E 3Rd St
Siler City, NC 27344-3231
Mailing address
2020 Chapel Hill Rd Ste 23
Durham, NC 27707-1186
Phone (919) 688-7101
Other practice location 1
401 N Ivey Ave
Siler City, NC 27344-3074
Phone (919) 688-7101
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5905592 | Medicaid | NC |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 14, 2019.
{
"created_epoch": "1256083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1547424000000",
"number": "1346576667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 CHAPEL HILL RD STE 23",
"city": "DURHAM",
"state": "NC",
"postal_code": "277071186",
"telephone_number": "919-688-7101",
"fax_number": "919-338-2729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 E 3RD ST",
"city": "SILER CITY",
"state": "NC",
"postal_code": "273443231",
"telephone_number": "919-688-7101",
"fax_number": "919-688-7102"
}
],
"practiceLocations": [
{
"address_1": "401 N Ivey Ave",
"address_purpose": "LOCATION",
"city": "Siler City",
"state": "NC",
"postal_code": "273443074",
"country_code": "US",
"telephone_number": "919-688-7101",
"fax_number": "919-688-7102",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EL FUTURO, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EL FUTURO, INC.",
"enumeration_date": "2009-10-21",
"last_updated": "2019-01-14",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "LUCAS",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "919-338-1939",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5905592",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Siler City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.