Espiritu Clinic PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ESPIRITU CLINIC PLLC

Practice address

715 Fairgrove Church Rd SE
Suite 204
Conover, NC 28613-9290

Phone

(888) 898-7130

Fax

(828) 322-7921

NPI assigned

Feb 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Hernane Bautista Espiritu

Title

Practice Manager

Phone

(888) 898-7130

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295568000000",
    "number": "1497722359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 N CENTER ST",
            "address_2": "370",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286011320",
            "telephone_number": "888-898-7130",
            "fax_number": "828-322-7921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 FAIRGROVE CHURCH RD SE",
            "address_2": "SUITE 204",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286139290",
            "telephone_number": "888-898-7130",
            "fax_number": "828-322-7921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESPIRITU CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2011-01-21",
        "status": "A",
        "authorized_official_last_name": "ESPIRITU",
        "authorized_official_first_name": "HERNANE",
        "authorized_official_middle_name": "BAUTISTA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "888-898-7130",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891352X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Conover, NC
• Providers in Conover, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.