NPIMap

Organization Active NPI

University of North Carolina at Chapel Hill

Doing business as Craniofacial Center

  • Multi-Specialty Clinic/Center
  • Chapel Hill, NC
National Provider Identifier
1427138676
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
Doing business as
Craniofacial Center
Practice address
140 Dental Circle
Suite 002, Brauer Hall
Chapel Hill, NC 27599-7450
Phone
(919) 537-3511
Fax
(919) 537-3554
NPI assigned
Oct 16, 2006
Last updated
Oct 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Authorized official

Name
Dr. Amelia Drake, MDNPI 1477654051
Title
Director, Craniofacial Center
Phone
(919) 537-3511

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 1

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

Addresses

Primary practice location

140 Dental Circle
Suite 002, Brauer Hall
Chapel Hill, NC 27599-7450

Mailing address

140 Dental Circle
Suite 002, Brauer Hall
Chapel Hill, NC 27599-7450
Phone (919) 537-3511

Other names 1

  • Craniofacial Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200401001848 NC Part B Supplier - Clinic/Group Practice 0345679072 Receives reassigned benefits from 1 practitioner
Practice locations: Chapel Hill, NC

National Provider Directory

National Provider Directory

Locations

002 Brauer Hall
Chapel Hill, NC 27599

002 Brauer Hall Cb7450
Chapel Hill, NC 27599

140 Dental Cir
Ste 2
Chapel Hill, NC 27599
Phone (919) 537-3511

7450 University of NC
Chapel Hill, NC 27599

9 Brauer Hall Cb
Ste 7450
Chapel Hill, NC 27599

P40 Dental Cir
Ste 2
Chapel Hill, NC 27599

Practitioners & affiliated clinicians

Practitioners 25

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 25

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1427138676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 DENTAL CIRCLE",
            "address_2": "SUITE 002, BRAUER HALL",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997450",
            "telephone_number": "919-537-3511",
            "fax_number": "919-537-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 DENTAL CIRCLE",
            "address_2": "SUITE 002, BRAUER HALL",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997450",
            "telephone_number": "919-537-3511",
            "fax_number": "919-537-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2023-10-06",
        "certification_date": "2020-04-01",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_title_or_position": "DIRECTOR, CRANIOFACIAL CENTER",
        "authorized_official_telephone_number": "919-537-3511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Craniofacial Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.