Organization Active NPI

Kasselt Bone and Joint Center, P.a.

  • Orthopaedic Surgery Physician
  • Kinston, NC
National Provider Identifier
1396730883
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
35389 Issued in NC
Legal business name
KASSELT BONE AND JOINT CENTER, P.A.
Practice address
2104 N Herritage St
Kinston, NC 28501-2222
Phone
(252) 523-6506
Fax
(252) 523-6969
NPI assigned
Sep 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Authorized official

Name
Dr. Max R Kasselt, M.D.
Title
President/Owner
Phone
(252) 523-6506

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 35389 NC Primary

Addresses

Primary practice location

2104 N Herritage St
Kinston, NC 28501-2222

Mailing address

2104 N Herritage St
Kinston, NC 28501-2222
Phone (252) 523-6506

Other identifiers 4

IdentifierTypeStateIssuer
0564940001OtherNCPALMETTO GBA
2324236OtherNCMEDICARE
0292LOtherNCBLUE CROSS OF NC
890292LMedicaidNC

National Provider Directory

National Provider Directory

Locations

2104 N Herritage St
Kinston, NC 28501
Phone (252) 522-3663

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1396730883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 N HERRITAGE ST",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285012222",
            "telephone_number": "252-523-6506",
            "fax_number": "252-523-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 N HERRITAGE ST",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285012222",
            "telephone_number": "252-523-6506",
            "fax_number": "252-523-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASSELT BONE AND JOINT CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "KASSELT",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "252-523-6506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "35389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "0564940001",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2324236",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF NC",
            "identifier": "0292L",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890292L",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.