Active NPI
David G Caron, LPA
- Psychologist
- Clayton, NC
National Provider Identifier
1396918108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1260
- Practice address
- 105 S Ellington St
Clayton, NC 27520-2305 - Phone
- (919) 243-0454
- Fax
- (919) 243-0923
- NPI assigned
- Apr 12, 2008
- Last updated
- May 9, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1260 | NC | Primary |
Addresses
Primary practice location
105 S Ellington St
Clayton, NC 27520-2305
Mailing address
7029 Sunrise Rd
Chapel Hill, NC 27514-9715
Phone (919) 608-6050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1260 | NC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462752000000",
"number": "1396918108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7029 SUNRISE RD",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275149715",
"telephone_number": "919-608-6050",
"fax_number": "919-401-4892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 S ELLINGTON ST",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275202305",
"telephone_number": "919-243-0454",
"fax_number": "919-243-0923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARON",
"first_name": "DAVID",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "LPA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-12",
"last_updated": "2016-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "1260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clayton, NC
- Carolina Decompression and Physical Therapy LLC (Carolina Spine & Disc Center)
- Carolina Dermatology and Endocrinology, PA
- Carolina Foot Specialists
- Carolina Outreach, LLC
- Carolina Spine and Disc Center
- Luz Maria Carrasquillo
- Heather Marie Carreon, RN, IBCLC
- Rebeca Carro
- Craig Steven Carter, MD
- Cary Orthopaedic and Sports Medicine Specialists, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.