Active NPI
Charles J Viviano, MD
- Urology Physician
- Raleigh, NC
National Provider Identifier
1740213867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 2011-00406
- Practice address
- 3480 Wake Forest Rd
Ste 506
Raleigh, NC 27609-7376 - Phone
- (919) 862-5600
- NPI assigned
- Jul 9, 2006
- Last updated
- May 8, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 044379 | CT | |
| Urology Physician | 208800000X | 2011-00406 | NC | Primary |
Addresses
Primary practice location
3480 Wake Forest Rd
Ste 506
Raleigh, NC 27609-7376
Mailing address
5213 S Alston Ave
Durham, NC 27713-4430
Phone (919) 684-8111
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044379 | CT | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336435200000",
"number": "1740213867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5213 S ALSTON AVE",
"city": "DURHAM",
"state": "NC",
"postal_code": "277134430",
"telephone_number": "919-684-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3480 WAKE FOREST RD",
"address_2": "STE 506",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097376",
"telephone_number": "919-862-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIVIANO",
"first_name": "CHARLES",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-09",
"last_updated": "2012-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CT",
"license": "044379",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NC",
"license": "2011-00406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
- Vitlink Psychiatric Services PLLC
- Alex Joshuah Vitshteyn, CRNA
- Emily Lamb Viva, LCSW
- Daniela Vivaldi, DDS
- Vivian a Throop DDS PLLC (City of Oaks Dental)
- Taana Viviano, MD
- Megan R Vlasic, PT, DPT
- VLB Holding LLC (Prime Aging Care)
- VMP MD PA (Vijay Patel Family Medicine)
- Voca Corp of North Carolina (Community Alternatives North Carolina - I)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.