Organization Active NPI

Carolina Diabetes and Endocrinology Center

  • Endocrinology, Diabetes & Metabolism Physician
  • Dunn, NC
National Provider Identifier
1700020310
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
2007-00235 Issued in NC
Legal business name
CAROLINA DIABETES AND ENDOCRINOLOGY CENTER
Practice address
520 Erwin Rd
Dunn, NC 28334-4518
Phone
(910) 292-2061
Fax
(910) 292-2091
NPI assigned
Apr 27, 2009
Last updated
Aug 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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

Authorized official

Name
Dr. Bede I Nnolim, M. D.
Title
Physician/Owner
Phone
(910) 292-2066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 2007-00235 NC Primary

Addresses

Primary practice location

520 Erwin Rd
Dunn, NC 28334-4518

Mailing address

520 Erwin Rd
Dunn, NC 28334-4518
Phone (910) 292-2066

National Provider Directory

National Provider Directory

Locations

514 Erwin Rd
Dunn, NC 28334
Phone (910) 587-8999

NPI Registry JSON

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312416000000",
    "number": "1700020310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 ERWIN RD",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344518",
            "telephone_number": "910-292-2066",
            "fax_number": "910-292-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 ERWIN RD",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344518",
            "telephone_number": "910-292-2061",
            "fax_number": "910-292-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA DIABETES AND ENDOCRINOLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-27",
        "last_updated": "2011-08-04",
        "status": "A",
        "authorized_official_last_name": "NNOLIM",
        "authorized_official_first_name": "BEDE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "910-292-2066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NC",
            "license": "2007-00235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunn, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; 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.