Organization Active NPI

Benjamin E Dunlap MD PA

  • Family Medicine Physician
  • Statesville, NC
National Provider Identifier
1679574818
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13789 Issued in NC
Legal business name
BENJAMIN E DUNLAP MD PA
Practice address
925 Thomas St
Family Practics
Statesville, NC 28677-3484
Phone
(704) 872-7636
Fax
(704) 872-7750
NPI assigned
Aug 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Authorized official

Name
Benjamin E Dunlap, MD
Title
MD
Phone
(704) 872-7636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 13789 NC Primary

Addresses

Primary practice location

925 Thomas St
Family Practics
Statesville, NC 28677-3484

Mailing address

925 Thomas St
Family Practics
Statesville, NC 28677-3484
Phone (704) 872-7636

Other identifiers 1

IdentifierTypeStateIssuer
8929417MedicaidNC

National Provider Directory

National Provider Directory

Locations

925 Thomas St
Ste C
Statesville, NC 28677
Phone (704) 373-1813

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1679574818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 THOMAS ST",
            "address_2": "FAMILY PRACTICS",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773484",
            "telephone_number": "704-872-7636",
            "fax_number": "704-872-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 THOMAS ST",
            "address_2": "FAMILY PRACTICS",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773484",
            "telephone_number": "704-872-7636",
            "fax_number": "704-872-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN E DUNLAP MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "DUNLAP",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "704-872-7636",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "13789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8929417",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.