Organization Active NPI

Triad Regenerative Medicine, PC

Doing business as Chronic Conditions Center of Greensboro

  • Multi-Specialty Clinic/Center
  • Greensboro, NC
National Provider Identifier
1356953335
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
TRIAD REGENERATIVE MEDICINE, PC
Doing business as
Chronic Conditions Center of Greensboro
Practice address
1309 Lees Chapel Rd
Greensboro, NC 27455-2601
Phone
(336) 285-7077
Fax
(336) 285-7078
NPI assigned
Aug 20, 2020
Last updated
Aug 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Authorized official

Name
Dr. Darcy Marie Ward, DCNPI 1275573800
Title
Clinic Facilitator
Phone
(336) 285-7077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

1309 Lees Chapel Rd
Greensboro, NC 27455-2601

Mailing address

PO Box 4365
Greensboro, NC 27404-4365
Phone (336) 285-7077

Other names 1

  • Chronic Conditions Center of Greensboro Doing business as

National Provider Directory

National Provider Directory

Locations

1309 Lees Chapel Rd
Greensboro, NC 27455
Phone (336) 286-5505

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597881600000",
    "number": "1356953335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4365",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274044365",
            "telephone_number": "336-285-7077",
            "fax_number": "336-285-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 LEES CHAPEL RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552601",
            "telephone_number": "336-285-7077",
            "fax_number": "336-285-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD REGENERATIVE MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "DARCY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINIC FACILITATOR",
        "authorized_official_telephone_number": "336-285-7077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chronic Conditions Center of Greensboro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.