Active NPI
Alan Resnik, M.D.
- Internal Medicine Physician
- Charlotte, NC
National Provider Identifier
1568458818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 23655
- Practice address
- 16139 Lancaster Highway
#140
Charlotte, NC 28277 - Phone
- (704) 540-6930
- Fax
- (704) 540-4938
- NPI assigned
- Sep 22, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 23655 | NC | Primary |
Addresses
Primary practice location
16139 Lancaster Highway
#140
Charlotte, NC 28277
Mailing address
16139 Lancaster Highway
Ste. 140
Charlotte, NC 28277
Phone (704) 540-6930
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71292 | Other | NC | BLUE CROSS & BLUE SHIELD |
| 7971292 | Medicaid | NC |
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": "1127347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229990400000",
"number": "1568458818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16139 LANCASTER HIGHWAY",
"address_2": "STE. 140",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28277",
"telephone_number": "704-540-6930",
"fax_number": "704-540-4938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16139 LANCASTER HIGHWAY",
"address_2": "#140",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28277",
"telephone_number": "704-540-6930",
"fax_number": "704-540-4938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RESNIK",
"first_name": "ALAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-22",
"last_updated": "2008-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "23655",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "71292",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7971292",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
- Resilience Healthcare Services
- Resiliency Therapeutic Services PLLC
- Resilient Minds Telepsychiatry PLLC
- Resilient Roots, Counseling and Consulting
- Resilient Stars LLC
- Vivian M Resnik, OT
- Resolution Health LLC
- Resourceful Clinical Laboratory LLC
- Resourceful Solutions III
- Resourceful Transportation, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.