Organization Active NPI

Garner Lighthouse

  • General Practice Physician
  • Garner, NC
National Provider Identifier
1700330867
Registry record updated Aug 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
13460 Issued in NC
Legal business name
GARNER LIGHTHOUSE
Practice address
607 Benson Rd
Garner, NC 27529-3988
Phone
(919) 594-1354
NPI assigned
Aug 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2016

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

Authorized official

Name
Usha Doshi, M.D.
Title
Physician
Phone
(919) 594-1354

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 13460 NC
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 13460 NC Primary

Addresses

Primary practice location

607 Benson Rd
Garner, NC 27529-3988

Mailing address

607 Benson Rd
Garner, NC 27529-3988
Phone (919) 594-1354

Other identifiers 1

IdentifierTypeStateIssuer
1436218OtherNCNORTH CAROLINA SECRETARY OF STATE

National Provider Directory

National Provider Directory
Tax ID family
Garner Lighthouse2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

607 Benson Rd
Garner, NC 27529
Phone (919) 594-1354

NPI Registry JSON

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

{
    "created_epoch": "1470441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470441600000",
    "number": "1700330867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 BENSON RD",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293988",
            "telephone_number": "919-594-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 BENSON RD",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293988",
            "telephone_number": "919-594-1354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARNER LIGHTHOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-06",
        "last_updated": "2016-08-06",
        "status": "A",
        "authorized_official_last_name": "DOSHI",
        "authorized_official_first_name": "USHA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "919-594-1354",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "13460",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NC",
            "license": "13460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA SECRETARY OF STATE",
            "identifier": "1436218",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2016; 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.