Organization Active NPI

Michael a. Kepley, M.D. P.a.

  • Specialist
  • Statesville, NC
National Provider Identifier
1508011263
Registry record updated Nov 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
27876 Issued in NC
Legal business name
MICHAEL A. KEPLEY, M.D. P.A.
Practice address
527 Brookdale Dr
Statesville, NC 28677-4107
Phone
(704) 872-4499
Fax
(704) 872-0337
NPI assigned
Nov 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2008

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

Authorized official

Name
Michael Avery Kepley, M.D.
Title
Owner/Physician
Phone
(704) 872-4499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 27876 NC Primary

Addresses

Primary practice location

527 Brookdale Dr
Statesville, NC 28677-4107

Mailing address

527 Brookdale Dr
Statesville, NC 28677-4107
Phone (704) 872-4499

National Provider Directory

National Provider Directory

Locations

527 Brookdale Dr
Statesville, NC 28677
Phone (704) 209-7493

NPI Registry JSON

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

{
    "created_epoch": "1227312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227312000000",
    "number": "1508011263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 BROOKDALE DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286774107",
            "telephone_number": "704-872-4499",
            "fax_number": "704-872-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 BROOKDALE DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286774107",
            "telephone_number": "704-872-4499",
            "fax_number": "704-872-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A. KEPLEY, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-22",
        "last_updated": "2008-11-22",
        "status": "A",
        "authorized_official_last_name": "KEPLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "AVERY",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "704-872-4499",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "27876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2008; 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.