Active NPI
Donald D Fraser, MD
- Dermatology Physician
- Charlotte, NC
National Provider Identifier
1508861105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 25287
- Practice address
- 309 S Sharon Amity Rd Ste 200
Charlotte, NC 28211-2886 - Phone
- (704) 344-8846
- Fax
- (704) 344-9844
- NPI assigned
- Jun 20, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 25287 | NC | Primary |
Addresses
Primary practice location
309 S Sharon Amity Rd Ste 200
Charlotte, NC 28211-2886
Mailing address
1072 X Ray Dr
Gastonia, NC 28054-7498
Phone (704) 671-1094
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1508861105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1072 X RAY DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280547498",
"telephone_number": "704-671-1094",
"fax_number": "704-671-1095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 S SHARON AMITY RD STE 200",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282112886",
"telephone_number": "704-344-8846",
"fax_number": "704-344-9844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRASER",
"first_name": "DONALD",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-20",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NC",
"license": "25287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.