Active NPI
Adekanbi Chijioke Adewunmi
- Private Vehicle
- Raleigh, NC
National Provider Identifier
1487414876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- License
- 00004492793
- Practice address
- 140 Mine Lake CT Ste 100
Raleigh, NC 27615-6417 - Phone
- (919) 847-3309
- Fax
- (919) 518-8295
- NPI assigned
- Mar 21, 2024
- Last updated
- Mar 22, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 00004492793 | NC | |
| Private Vehicle | 347C00000X | 00004492793 | NC | Primary |
Addresses
Primary practice location
140 Mine Lake CT Ste 100
Raleigh, NC 27615-6417
Mailing address
140 Mine Lake CT Ste 100
Raleigh, NC 27615-6417
Phone (919) 847-3309
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00004492793 | NC | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711065600000",
"number": "1487414876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 MINE LAKE CT STE 100",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276156417",
"telephone_number": "919-847-3309",
"fax_number": "919-518-8295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 MINE LAKE CT STE 100",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276156417",
"telephone_number": "919-847-3309",
"fax_number": "919-518-8295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADEWUNMI",
"first_name": "ADEKANBI",
"middle_name": "CHIJIOKE",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-03-21",
"last_updated": "2024-03-22",
"certification_date": "2024-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "NC",
"license": "00004492793",
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "NC",
"license": "00004492793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.