Organization Active NPI

Rainbow Pediatrics of Eastover

  • Pediatrics Physician
  • Eastover, NC
National Provider Identifier
1497088371
Registry record updated Sep 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
9601603 Issued in NC
Legal business name
RAINBOW PEDIATRICS OF EASTOVER
Practice address
3361 Dunn Rd
Eastover, NC 28312
Phone
(910) 223-0330
Fax
(910) 223-0329
NPI assigned
Sep 10, 2009
Last updated
Sep 10, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
RAINBOW PEDIATRICS OF FAYETTEVILLEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 10, 2009

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

Authorized official

Name
Dr. Taner Esensoy, M.D.NPI 1558345892
Title
Owner/Physician
Phone
(910) 486-5437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 9601603 NC Primary

Addresses

Primary practice location

3361 Dunn Rd
Eastover, NC 28312

Mailing address

PO Box 87407
Fayetteville, NC 28304-7407
Phone (910) 486-5437

National Provider Directory

National Provider Directory
Part of
Rainbow Pediatrics of Fayetteville

Locations

3361 Dunn Rd
Eastover, NC 28312
Phone (910) 223-0330

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252540800000",
    "number": "1497088371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87407",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283047407",
            "telephone_number": "910-486-5437",
            "fax_number": "910-486-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3361 DUNN RD",
            "city": "EASTOVER",
            "state": "NC",
            "postal_code": "28312",
            "telephone_number": "910-223-0330",
            "fax_number": "910-223-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW PEDIATRICS OF EASTOVER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RAINBOW PEDIATRICS OF FAYETTEVILLE",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A",
        "authorized_official_last_name": "ESENSOY",
        "authorized_official_first_name": "TANER",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "910-486-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "9601603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastover, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.