Organization Active NPI

A First Step Substance Abuse Center

  • Preferred Provider Organization
  • Charlotte, NC
National Provider Identifier
1609165679
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
A FIRST STEP SUBSTANCE ABUSE CENTER
Practice address
1317 Pecan Ave
Charlotte, NC 28205-3411
Phone
(704) 605-9400
NPI assigned
Mar 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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

Authorized official

Name
Mr. Dwayne Robinson
Title
Ceo
Phone
(704) 605-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X NC Primary

Addresses

Primary practice location

1317 Pecan Ave
Charlotte, NC 28205-3411

Mailing address

1317 Pecan Ave
Charlotte, NC 28205-3411
Phone (704) 605-9400

National Provider Directory

National Provider Directory

Locations

1317 Pecan Ave
Charlotte, NC 28205
Phone (704) 605-9400

NPI Registry JSON

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1609165679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 PECAN AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282053411",
            "telephone_number": "704-605-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 PECAN AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282053411",
            "telephone_number": "704-605-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A FIRST STEP SUBSTANCE ABUSE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-30",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-605-9400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NC",
            "license": null,
            "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 Mar 30, 2011; 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.