Organization Active NPI

Choctaw Archiving

  • Foster Care Agency
  • Charlotte, NC
National Provider Identifier
1356577423
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
26628 Issued in TX
Legal business name
CHOCTAW ARCHIVING
Practice address
2312 Bay St
Charlotte, NC 28205-6012
Phone
(512) 694-3742
NPI assigned
Jun 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Authorized official

Name
Dr. Samuel Cunningham
Title
Senior Program Manager
Phone
(301) 577-0021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X 26628 TX Primary

Addresses

Primary practice location

2312 Bay St
Charlotte, NC 28205-6012

Mailing address

2312 Bay St
Charlotte, NC 28205-6012
Phone (512) 694-3742

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1356577423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 BAY ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056012",
            "telephone_number": "512-694-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 BAY ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056012",
            "telephone_number": "512-694-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOCTAW ARCHIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "SENIOR PROGRAM MANAGER",
        "authorized_official_telephone_number": "301-577-0021",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "TX",
            "license": "26628",
            "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 Jun 3, 2009; 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.