Active NPI
Carin Michelle Vanderklok, DVM
- Veterinarian
- Raleigh, NC
National Provider Identifier
1508153057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- 6205
- Practice address
- 3901 Capital Blvd
Suite 151
Raleigh, NC 27604-3488 - Phone
- (919) 855-2504
- NPI assigned
- Jul 6, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Veterinarian | 174M00000X | 6205 | NC | Primary |
Addresses
Primary practice location
3901 Capital Blvd
Suite 151
Raleigh, NC 27604-3488
Mailing address
PO Box 98552
Raleigh, NC 27624-8552
Phone (919) 247-4444
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 |
|---|---|---|---|
| 6205 | NC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309910400000",
"number": "1508153057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 98552",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276248552",
"telephone_number": "919-247-4444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 CAPITAL BLVD",
"address_2": "SUITE 151",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276043488",
"telephone_number": "919-855-2504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERKLOK",
"first_name": "CARIN",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "DVM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-06",
"last_updated": "2011-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "NC",
"license": "6205",
"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 Jul 6, 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.