Organization Active NPI

Eastowne OB-GYN and Infertility, P.a.

  • Specialist
  • Chapel Hill, NC
National Provider Identifier
1477652246
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
17855 Issued in NC
Legal business name
EASTOWNE OB-GYN AND INFERTILITY, P.A.
Practice address
180 Providence Rd
Suite # 3
Chapel Hill, NC 27514-2206
Phone
(919) 493-8466
Fax
(919) 490-8051
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

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

Authorized official

Name
Dr. James Ray Dingfelder, M.D.
Title
Owner Physician
Phone
(919) 493-8466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 17855 NC Primary

Addresses

Primary practice location

180 Providence Rd
Suite # 3
Chapel Hill, NC 27514-2206

Mailing address

180 Providence Rd
Suite # 3
Chapel Hill, NC 27514-2206
Phone (919) 493-8466

Other identifiers 2

IdentifierTypeStateIssuer
7901249MedicaidNC
28645OtherNYBLUE CROSS/BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275955200000",
    "number": "1477652246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 PROVIDENCE RD",
            "address_2": "SUITE # 3",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142206",
            "telephone_number": "919-493-8466",
            "fax_number": "919-490-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 PROVIDENCE RD",
            "address_2": "SUITE # 3",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142206",
            "telephone_number": "919-493-8466",
            "fax_number": "919-490-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTOWNE OB-GYN AND INFERTILITY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2010-06-08",
        "status": "A",
        "authorized_official_last_name": "DINGFELDER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "919-493-8466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "17855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7901249",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "28645",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 8, 2010; 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.