Active NPI
Christopher David Thaxton, LDO, ABO, NCLEC
- Optician
- Chapel Hill, NC
National Provider Identifier
1679794960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 2136
- Practice address
- 1838 Martin Luther King Jr Blvd
Chapel Hill, NC 27514-7415 - Phone
- (919) 442-2506
- Fax
- (919) 442-2507
- NPI assigned
- May 2, 2007
- Last updated
- Jun 9, 2020
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 2136 | NC | Primary |
Addresses
Primary practice location
1838 Martin Luther King Jr Blvd
Chapel Hill, NC 27514-7415
Mailing address
8701 Donnington Dr
Raleigh, NC 27615-3821
Phone (919) 279-0888
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2136 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591660800000",
"number": "1679794960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8701 DONNINGTON DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276153821",
"telephone_number": "919-279-0888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1838 MARTIN LUTHER KING JR BLVD",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275147415",
"telephone_number": "919-442-2506",
"fax_number": "919-442-2507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAXTON",
"first_name": "CHRISTOPHER",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "LDO, ABO, NCLEC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2020-06-09",
"certification_date": "2020-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NC",
"license": "2136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chapel Hill, NC
- Jodi Meadows Tewes
- Scott Thach, MSPO, CO
- Sahal Albith Thahir
- Paul Thananopavarn, M.D.
- Sabita Thapa
- The Arc of the Triangle, Inc.
- The Cedars of Chapel Hill Club, Inc
- The Cedars of Chapel Hill Club, Inc. (The Cedars of Chapel Hill Wellness Clinic)
- The Cedars of Chapel Hill Club, Inc. (The Cedars of Chapel Hill Home Care Agency)
- The Chapel Hill Residential Retirement Center, Inc. (Carol Woods Retirement Community)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.