Organization Active NPI

Mid-Carolina Orthopedic and Spine, PA

  • Orthopaedic Surgery Physician
  • Forest City, NC
National Provider Identifier
1740246313
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
20255 Issued in NC
Legal business name
MID-CAROLINA ORTHOPEDIC AND SPINE, PA
Practice address
112 Sparks Dr
Forest City, NC 28043-9021
Phone
(828) 286-4298
Fax
(828) 286-2075
NPI assigned
Apr 24, 2006
Last updated
May 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
John Edward Davis, M.D.
Title
President
Phone
(828) 286-4298

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 20255 NC Primary

Addresses

Primary practice location

112 Sparks Dr
Forest City, NC 28043-9021

Mailing address

112 Sparks Dr
Forest City, NC 28043-9021
Phone (828) 286-4298

National Provider Directory

National Provider Directory

Locations

123 Park Lane Dr
Ste 100
Rutherfordton, NC 28139
Phone (828) 286-4298

NPI Registry JSON

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1740246313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SPARKS DR",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280439021",
            "telephone_number": "828-286-4298",
            "fax_number": "828-286-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SPARKS DR",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280439021",
            "telephone_number": "828-286-4298",
            "fax_number": "828-286-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-CAROLINA ORTHOPEDIC AND SPINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-24",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-286-4298",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "20255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.