Individual provider Active NPI

Charles Richard Kays, M.D

  • Plastic and Reconstructive Surgery Physician
  • Wilmington, NC
National Provider Identifier
1689676611
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
9400538 Issued in NC
Practice address
2305 Canterwood Dr
Wilmington, NC 28401-7300
Phone
(910) 343-0119
Fax
(910) 343-8983
NPI assigned
Aug 10, 2005
Last updated
Jan 19, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 9400538 NC Primary

Addresses

Primary practice location

2305 Canterwood Dr
Wilmington, NC 28401-7300

Mailing address

1404 Commonwealth Dr
Wilmington, NC 28403-1473
Phone (910) 343-0119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111130000535 NC Practitioner - Plastic and Reconstructive Surgery 9133214893 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9400538NCMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wilmington Plastic Surgery Specialists, P.a. Plastic and Reconstructive Surgery CurrentSince Jul 1, 1996 Accepting new patients

Locations

291 Huff Dr
Jacksonville, NC 28546
Phone (910) 343-0119

1404 Commonwealth Dr
Wilmington, NC 28403
Phone (910) 256-1221

2305 Canterwood Dr
Wilmington, NC 28401
Phone (910) 343-0119

Interoperability endpoints

  • Direct secure messaging: ckays1247958@direct.novanthealth.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1689676611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 COMMONWEALTH DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031473",
            "telephone_number": "910-343-0119",
            "fax_number": "910-343-8983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 CANTERWOOD DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017300",
            "telephone_number": "910-343-0119",
            "fax_number": "910-343-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYS",
        "first_name": "CHARLES",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NC",
            "license": "9400538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.