Active NPI
Crystal Marie Duncan
- Other Technician
- Matthews, NC
National Provider Identifier
1447918644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 1140 Sam Newell Rd Ste a
Matthews, NC 28105-5165 - Phone
- (704) 712-5335
- NPI assigned
- Dec 4, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
1140 Sam Newell Rd Ste a
Matthews, NC 28105-5165
Mailing address
1140 Sam Newell Rd Ste a
Matthews, NC 28105-5165
Phone (704) 712-5335
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638576000000",
"number": "1447918644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 SAM NEWELL RD STE A",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281055165",
"telephone_number": "704-712-5335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 SAM NEWELL RD STE A",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281055165",
"telephone_number": "704-712-5335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNCAN",
"first_name": "CRYSTAL",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-04",
"last_updated": "2021-12-04",
"certification_date": "2021-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.