Organization Active NPI

Paul J Endry

  • Clinic/Center
  • Asheville, NC
National Provider Identifier
1568581999
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1206 Issued in NC
Legal business name
PAUL J ENDRY
Practice address
1 Page Ave
Suite 118
Asheville, NC 28801-2382
Phone
(828) 253-3533
Fax
(828) 253-3389
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

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

Authorized official

Name
Dr. Paul Joseph Endry, O.D.
Title
Owner
Phone
(828) 253-3533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1206 NC Primary

Addresses

Primary practice location

1 Page Ave
Suite 118
Asheville, NC 28801-2382

Mailing address

1 Page Ave
Suite 118
Asheville, NC 28801-2382
Phone (828) 253-3533

Other identifiers 2

IdentifierTypeStateIssuer
9266MedicaidNC
8909266MedicaidNC

National Provider Directory

National Provider Directory

Locations

1 Page Ave
Ste 118
Asheville, NC 28801
Phone (528) 253-3533

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279843200000",
    "number": "1568581999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PAGE AVE",
            "address_2": "SUITE 118",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012382",
            "telephone_number": "828-253-3533",
            "fax_number": "828-253-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PAGE AVE",
            "address_2": "SUITE 118",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012382",
            "telephone_number": "828-253-3533",
            "fax_number": "828-253-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL J ENDRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2010-07-23",
        "status": "A",
        "authorized_official_last_name": "ENDRY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-253-3533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "1206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9266",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909266",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.