Active NPI
Clarito C Pang, MD
- Pediatrics Physician
- Fayetteville, NC
National Provider Identifier
1639172315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 32160
- Practice address
- 1708A Owen Dr
Fayetteville, NC 28304-3419 - Phone
- (910) 307-7330
- Fax
- (910) 307-7334
- NPI assigned
- May 24, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 32160 | NC | Primary |
Addresses
Primary practice location
1708A Owen Dr
Fayetteville, NC 28304-3419
Mailing address
400 Liberty Hill Rd
Lumberton, NC 28358-2446
Phone (910) 739-3318
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8965126 | 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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32160 | NC | MD | Pediatrics Physician |
Interoperability endpoints
- claritopang@lumbertonc.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396828800000",
"number": "1639172315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 LIBERTY HILL RD",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283582446",
"telephone_number": "910-739-3318",
"fax_number": "910-671-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1708A OWEN DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043419",
"telephone_number": "910-307-7330",
"fax_number": "910-307-7334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANG",
"first_name": "CLARITO",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2014-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "32160",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8965126",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
- Pamela Williams Jordanhouseconnections (JordanHouseConnection)
- McKenzie Pamplin
- Shreebridhi Pande, MD
- Prachi Pandeya, MD
- Utsav Yogeshkumar Pandya, PHYSICAL THERAPIST
- Anisha Panicker, MD
- Tabatha Latoya Pankey, MSW, PLCSW
- Viveca Melody Pankey, MA, CCC-SLP
- George Constantine Pantelakos, MD
- Steven Thomas Pantelakos, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.