NPIMap

Organization Active NPI

Enoc Madero

  • Developmental Therapist
  • Raleigh, NC
National Provider Identifier
1659767168
Registry record updated Apr 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Legal business name
ENOC MADERO
Doing business as
Our Kids, Nuestros Ninos
Practice address
6036 Brambleberry Way
Raleigh, NC 27616-6618
Phone
(919) 593-7602
NPI assigned
Apr 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2015

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

Authorized official

Name
Mr. Enoc E Madero, M.A., ITFSNPI 1356588578
Title
Owner, Developmental Therapist
Phone
(919) 593-7602

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 222Q00000X Primary
Community/Behavioral Health Agency 251S00000X
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

6036 Brambleberry Way
Raleigh, NC 27616-6618

Mailing address

6036 Brambleberry Way
Raleigh, NC 27616-6618
Phone (919) 593-7602

Other names 1

  • Our Kids, Nuestros Ninos Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1428624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428624000000",
    "number": "1659767168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6036 BRAMBLEBERRY WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276166618",
            "telephone_number": "919-593-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6036 BRAMBLEBERRY WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276166618",
            "telephone_number": "919-593-7602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENOC MADERO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-10",
        "last_updated": "2015-04-10",
        "status": "A",
        "authorized_official_last_name": "MADERO",
        "authorized_official_first_name": "ENOC",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER, DEVELOPMENTAL THERAPIST",
        "authorized_official_telephone_number": "919-593-7602",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A., ITFS"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Our Kids, Nuestros Ninos",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; 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.