Carolina Medical Specialties, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

01163 Issued in NC

Legal business name

CAROLINA MEDICAL SPECIALTIES, INC.

Practice address

420 Raleigh St
Suite D
Wilmington, NC 28412-6316

Phone

(910) 452-0999

Fax

(910) 452-2935

NPI assigned

Jul 11, 2007

Organization subpart

Yes

Parent organization

CAROLINA MEDICAL SPECIALTIES, INC.As reported in NPPES

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

Authorized official

Name

Mr. Dimitri K. Sleem

Title

Director

Phone

(910) 977-5511

Specialties & licenses 3

Addresses

Other identifiers 1

Tax ID family

Carolina Medical Specialties Inc3 organizations share this tax ID, including this one

Part of

Carolina Medical Specialties Inc

Other organizations with this tax ID 2

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

• Carolina Medical Specialties, Inc.

  • Prosthetic/Orthotic Supplier
  • Wilmington, NC
  • NPI 1083746655
  NPD tax ID
• Carolina Medical Specialties, Inc.

  • Prosthetic/Orthotic Supplier
  • Wilson, NC
  • NPI 1205034592
  NPD tax ID

Locations

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1467650440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53277",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283053277",
            "telephone_number": "910-485-0500",
            "fax_number": "910-485-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 RALEIGH ST",
            "address_2": "SUITE D",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284126316",
            "telephone_number": "910-452-0999",
            "fax_number": "910-452-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA MEDICAL SPECIALTIES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINA MEDICAL SPECIALTIES, INC.",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "SLEEM",
        "authorized_official_first_name": "DIMITRI",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-977-5511",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "01163",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NC",
            "license": "01163",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NC",
            "license": "01163",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY PERMIT",
            "identifier": "01163",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Healthcare Associates, Inc.
• Carolina Healthcare Associates, Inc.
• Carolina Healthcare Associates,Inc.
• Carolina Joint and Arthritis Clinic
• Carolina Medical Specialties, Inc.
• Carolina Mobile Transport LLC
• Carolina Mobility & Seating, Inc.
• Carolina Pediatric Rehabilitation Services, Inc.
• Carolina Pediatrics
• Carolina Pediatrics

• Durable Medical Equipment & Medical Supplies in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.