Active NPI
Rina Mehta, M.D.
- Pediatrics Physician
- Greensboro, NC
National Provider Identifier
1710418033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2020-02766
- Practice address
- 510 N Elam Ave Ste 202
Greensboro, NC 27403-1177 - Phone
- (336) 299-3183
- Fax
- (336) 299-1762
- NPI assigned
- Mar 27, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 83659 | SC | |
| Pediatrics Physician | 208000000X | 2020-02766 | NC | Primary |
Addresses
Primary practice location
510 N Elam Ave Ste 202
Greensboro, NC 27403-1177
Mailing address
51 Nassau St
Charleston, SC 29403-5513
Phone (843) 722-4122
Other practice location 1
51 Nassau St
Charleston, SC 29403-5513
Phone (843) 722-4122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020-02766 | NC | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665446400000",
"number": "1710418033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 NASSAU ST",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294035513",
"telephone_number": "843-722-4122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 N ELAM AVE STE 202",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274031177",
"telephone_number": "336-299-3183",
"fax_number": "336-299-1762"
}
],
"practiceLocations": [
{
"address_1": "51 Nassau St",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294035513",
"country_code": "US",
"telephone_number": "843-722-4122",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEHTA",
"first_name": "RINA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-27",
"last_updated": "2022-10-11",
"certification_date": "2021-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "83659",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2020-02766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.