Organization Active NPI

Capeside Addiction Care

  • Community/Behavioral Health Agency
  • Wilmington, NC
National Provider Identifier
1710347208
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CAPESIDE ADDICTION CARE
Practice address
311 Judges Rd # 4
Wilmington, NC 28405-3651
Phone
(910) 741-6767
NPI assigned
Feb 26, 2016
Last updated
Feb 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2016

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

Authorized official

Name
Mr. William James Bennett, LCAS
Title
Programs Director
Phone
(910) 791-6767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

311 Judges Rd # 4
Wilmington, NC 28405-3651

Mailing address

205 Sherwood Rd
Jacksonville, NC 28540-5534
Phone (910) 554-7870

National Provider Directory

National Provider Directory

Locations

311 Judges Rd
#4
Wilmington, NC 28405
Phone (910) 741-6767

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456444800000",
    "number": "1710347208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SHERWOOD RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285405534",
            "telephone_number": "910-554-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 JUDGES RD # 4",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053651",
            "telephone_number": "910-741-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPESIDE ADDICTION CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-26",
        "last_updated": "2016-02-26",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PROGRAMS DIRECTOR",
        "authorized_official_telephone_number": "910-791-6767",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCAS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "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 Feb 26, 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.