NPIMap

Organization Active NPI

Carolina Family Health Centers, Inc

Doing business as Carolina Family Dental Center

  • Federally Qualified Health Center (FQHC)
  • Elm City, NC
National Provider Identifier
1417427642
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CAROLINA FAMILY HEALTH CENTERS, INC
Doing business as
Carolina Family Dental Center
Practice address
8282 NC 58 S
Elm City, NC 27822-8079
Phone
(252) 443-7764
Fax
(252) 443-7611
NPI assigned
Nov 30, 2018
Last updated
Oct 26, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CAROLINA FAMILY HEALTH CENTERS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Authorized official

Name
Laura OwensNPI 1750410809
Title
Ceo
Phone
(252) 293-0013

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
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

8282 NC 58 S
Elm City, NC 27822-8079

Mailing address

303 Green St E
Wilson, NC 27893-4105
Phone (252) 293-0013

Other names 1

  • Carolina Family Dental Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050915000563 NC Part B Supplier - Clinic/Group Practice 6800841107 Receives reassigned benefits from 32 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Elm City, NC; Tarboro, NC; Wilson, NC

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Carolina Family Health Ce5 organizations share this tax ID, including this one
Part of
Carolina Family Health Ce

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

162 NC Highway 33 E
Tarboro, NC 27886
Phone (252) 641-0514

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1417427642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 GREEN ST E",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934105",
            "telephone_number": "252-293-0013",
            "fax_number": "252-243-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8282 NC 58 S",
            "city": "ELM CITY",
            "state": "NC",
            "postal_code": "278228079",
            "telephone_number": "252-443-7764",
            "fax_number": "252-443-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA FAMILY HEALTH CENTERS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINA FAMILY HEALTH CENTERS, INC",
        "enumeration_date": "2018-11-30",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-293-0013"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Family Dental Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carolina Family Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elm City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.

Verify at the official NPI Registry.