Organization Active NPI

Chapel Hill Dermatology, PA

  • Specialist
  • Chapel Hill, NC
National Provider Identifier
1508882796
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CHAPEL HILL DERMATOLOGY, PA
Practice address
891 Willow Dr
Suite 1
Chapel Hill, NC 27514-7077
Phone
(919) 942-3106
Fax
(919) 967-1674
NPI assigned
Jul 14, 2006
Last updated
Jan 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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

Authorized official

Name
Dr. Stanley B Levy, M.D.NPI 1760445696
Title
President
Phone
(919) 942-3106

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

891 Willow Dr
Suite 1
Chapel Hill, NC 27514-7077

Mailing address

891 Willow Dr
Suite 1
Chapel Hill, NC 27514-7077
Phone (919) 942-3106

Other identifiers 2

IdentifierTypeStateIssuer
CM4284OtherNCRETIRED RR MEDICARE
8901283MedicaidNC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2328112Chapel Hill Dermatology891 Willow Drive Suite 1, Chapel Hill, NC 27514ComplianceMay 21, 2028

National Provider Directory

National Provider Directory

Locations

891 Willow Dr
Ste 1
Chapel Hill, NC 27514
Phone (919) 942-3106

Practitioners & affiliated clinicians

Practitioners 6

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": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1508882796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 WILLOW DR",
            "address_2": "SUITE 1",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275147077",
            "telephone_number": "919-942-3106",
            "fax_number": "919-967-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 WILLOW DR",
            "address_2": "SUITE 1",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275147077",
            "telephone_number": "919-942-3106",
            "fax_number": "919-967-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAPEL HILL DERMATOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-942-3106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RETIRED RR MEDICARE",
            "identifier": "CM4284",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901283",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.