Active NPI
DK Ambassador
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Goldsboro, NC
National Provider Identifier
1740336031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- DK AMBASSADOR
- Practice address
- 2111 N William St
Goldsboro, NC 27530-1437 - Phone
- (919) 735-4275
- NPI assigned
- Jan 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Karlus C. Artis, MD
- Title
- President
- Phone
- (252) 443-2778
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
2111 N William St
Goldsboro, NC 27530-1437
Mailing address
PO Box 10887
Goldsboro, NC 27532-0887
Phone (252) 443-2778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890136R | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- DK Amabassadors
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmentally Disabled Services Day Training Agency
- Goldsboro, NC
- NPI 1235270778
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Goldsboro, NC
- NPI 1649386632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169856000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1740336031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10887",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275320887",
"telephone_number": "252-443-2778",
"fax_number": "919-736-1186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 N WILLIAM ST",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275301437",
"telephone_number": "919-735-4275"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DK AMBASSADOR",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ARTIS",
"authorized_official_first_name": "KARLUS",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "252-443-2778",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890136R",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Goldsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.