Organization Active NPI

Charlotte Lung and Health Center

  • Pulmonary Disease Physician
  • Charlotte, NC
National Provider Identifier
1629037965
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
26374 Issued in NC
Legal business name
CHARLOTTE LUNG AND HEALTH CENTER
Practice address
1918 Randolph Rd
Ste. 400
Charlotte, NC 28207-1100
Phone
(704) 342-8143
Fax
(704) 926-8068
NPI assigned
Mar 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Selwyn Spangenthal, M.D.
Title
President
Phone
(704) 342-8143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 26374 NC Primary

Addresses

Primary practice location

1918 Randolph Rd
Ste. 400
Charlotte, NC 28207-1100

Mailing address

1918 Randolph Rd
Ste. 400
Charlotte, NC 28207-1100
Phone (704) 342-8143

Other identifiers 1

IdentifierTypeStateIssuer
891256UMedicaidNC

National Provider Directory

National Provider Directory

Locations

1918 Randolph Rd
Ste 440
Charlotte, NC 28207
Phone (704) 342-8115

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629037965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 RANDOLPH RD",
            "address_2": "STE. 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071100",
            "telephone_number": "704-342-8143",
            "fax_number": "704-926-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 RANDOLPH RD",
            "address_2": "STE. 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071100",
            "telephone_number": "704-342-8143",
            "fax_number": "704-926-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE LUNG AND HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPANGENTHAL",
        "authorized_official_first_name": "SELWYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-342-8143",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "26374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891256U",
            "state": "NC"
        }
    ],
    "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 Aug 22, 2020; 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.