Organization Active NPI

Duke University

Doing business as Duke University Anaplastology

  • Anaplastologist
  • Durham, NC
National Provider Identifier
1629165360
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AnaplastologistTaxonomy code 229N00000X
Legal business name
DUKE UNIVERSITY
Doing business as
Duke University Anaplastology
Practice address
1000 Trent Dr
Duke South, Room 175
Durham, NC 27710-0001
Phone
(919) 684-5228
NPI assigned
Oct 6, 2006
Last updated
Sep 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Authorized official

Name
James Scott Gibson
Title
Executive Vice Dean Administration
Phone
(919) 684-3945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anaplastologist 229N00000X Primary

Addresses

Primary practice location

1000 Trent Dr
Duke South, Room 175
Durham, NC 27710-0001

Mailing address

PO Box 110566
Durham, NC 27709-5566
Phone (919) 620-4855

Other identifiers 1

IdentifierTypeStateIssuer
0890200004OtherNCDME NUMBER

Other names 1

  • Duke University Anaplastology Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Triangle Family Pract PA24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Locations

1000 Trent Dr
Durham, NC 27710
Phone (919) 684-5228

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1629165360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110566",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277095566",
            "telephone_number": "919-620-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 TRENT DR",
            "address_2": "DUKE SOUTH, ROOM 175",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277100001",
            "telephone_number": "919-684-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUKE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "EXECUTIVE VICE DEAN ADMINISTRATION",
        "authorized_official_telephone_number": "919-684-3945"
    },
    "taxonomies": [
        {
            "code": "229N00000X",
            "taxonomy_group": "",
            "desc": "Anaplastologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME NUMBER",
            "identifier": "0890200004",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Duke University Anaplastology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Duke University Anaplastology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.