Active NPI
ENT Carolina PA
- Specialist
- Belmont, NC
National Provider Identifier
1558592188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- ENT CAROLINA PA
- Practice address
- 1212 Spruce St
Suite 207
Belmont, NC 28012-3385 - Phone
- (704) 671-6380
- Fax
- (704) 671-6386
- NPI assigned
- Jul 30, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Frederic E Levy, MD
- Title
- Senior Partner
- Phone
- (704) 868-8400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1212 Spruce St
Suite 207
Belmont, NC 28012-3385
Mailing address
2520 Aberdeen Blvd
Gastonia, NC 28054-0635
Phone (704) 868-8400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890171M | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- ENT Carolina
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Shelby, NC
- NPI 1346471976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248912000000",
"number": "1558592188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 ABERDEEN BLVD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280540635",
"telephone_number": "704-868-8400",
"fax_number": "704-868-8493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 SPRUCE ST",
"address_2": "SUITE 207",
"city": "BELMONT",
"state": "NC",
"postal_code": "280123385",
"telephone_number": "704-671-6380",
"fax_number": "704-671-6386"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENT CAROLINA PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-30",
"last_updated": "2009-07-30",
"status": "A",
"authorized_official_last_name": "LEVY",
"authorized_official_first_name": "FREDERIC",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "SENIOR PARTNER",
"authorized_official_telephone_number": "704-868-8400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890171M",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belmont, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.