Organization Active NPI

Crown Clinic PA

  • Internal Medicine Physician
  • Charlotte, NC
National Provider Identifier
1710026695
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CROWN CLINIC PA
Practice address
801 Clanton Rd Ste C110
Charlotte, NC 28217-1372
Phone
(704) 527-5522
Fax
(704) 527-5533
NPI assigned
Feb 6, 2007
Last updated
Jul 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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

Authorized official

Name
Dr. Obinna Chika Oriaku, MD
Title
Owner
Phone
(704) 527-5522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

801 Clanton Rd Ste C110
Charlotte, NC 28217-1372

Mailing address

801 Clanton Rd
Ste C110
Charlotte, NC 28217-1372
Phone (704) 527-5522

National Provider Directory

National Provider Directory

Locations

4500 S Tryon St
Charlotte, NC 28217
Phone (704) 527-5502

801 Clanton Rd
Ste C110
Charlotte, NC 28217
Phone (704) 527-5522

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311292800000",
    "number": "1710026695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 CLANTON RD",
            "address_2": "STE C110",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282171372",
            "telephone_number": "704-527-5522",
            "fax_number": "704-527-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 CLANTON RD STE C110",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282171372",
            "telephone_number": "704-527-5522",
            "fax_number": "704-527-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2011-07-22",
        "status": "A",
        "authorized_official_last_name": "ORIAKU",
        "authorized_official_first_name": "OBINNA",
        "authorized_official_middle_name": "CHIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-527-5522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.