NPIMap

Organization Active NPI

Alamance Ear Nose and Throat, LLP

  • Otolaryngology Physician
  • Burlington, NC
National Provider Identifier
1417909409
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
ALAMANCE EAR NOSE AND THROAT, LLP
Practice address
4030 Oaks Professional Pkwy Ste 201
Burlington, NC 27215-8491
Phone
(336) 226-0660
Fax
(336) 227-6327
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Authorized official

Name
Chapman Teague McQueenNPI 1396732525
Title
MD
Phone
(336) 226-0660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Y00000X Primary
AudiologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 231H00000X
Hearing Instrument SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 237700000X

Addresses

Primary practice location

4030 Oaks Professional Pkwy Ste 201
Burlington, NC 27215-8491

Mailing address

PO Box 2
Burlington, NC 27216-0002
Phone (336) 226-0660

Other identifiers 6

IdentifierTypeStateIssuer
2846OtherNCWELLPATH
1417909409MedicaidNC
890137CMedicaidNC
442659OtherNCAETNA
3404191MedicaidNC
0137COtherNCBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050126000153 NC Part B Supplier - Clinic/Group Practice 1355391566 Receives reassigned benefits from 14 practitioners
Practice locations: Burlington, NC; Mebane, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D1036735Alamance Ear Nose & Throat, LLP4030 Oaks Professional Pkwy Ste 201, Burlington, NC 27215Certificate of waiverFeb 7, 2027

National Provider Directory

National Provider Directory

Locations

4030 Oaks Professional Pkwy
Ste 201
Burlington, NC 27215
Phone (336) 226-0660

4030 Oaks Professional Pkwy
#20
Burlington, NC 27215

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1417909409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272160002",
            "telephone_number": "336-226-0660",
            "fax_number": "336-227-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 OAKS PROFESSIONAL PKWY STE 201",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158491",
            "telephone_number": "336-226-0660",
            "fax_number": "336-227-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMANCE EAR NOSE AND THROAT, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "MCQUEEN",
        "authorized_official_first_name": "CHAPMAN",
        "authorized_official_middle_name": "TEAGUE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "336-226-0660"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLPATH",
            "identifier": "2846",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417909409",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890137C",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "442659",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404191",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0137C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.