NPIMap

Organization Active NPI

Urban Ministries of Wake County, Inc.

Doing business as Open Door Clinic

  • Community/Behavioral Health Agency
  • Raleigh, NC
National Provider Identifier
1740527217
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
URBAN MINISTRIES OF WAKE COUNTY, INC.
Doing business as
Open Door Clinic
Practice address
1390 Capital Blvd
Raleigh, NC 27603-1118
Phone
(919) 836-1642
NPI assigned
Jan 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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

Authorized official

Name
Mr. Pablo Joseph Escobar, MPA
Title
Clinic Director
Phone
(919) 256-2180

Specialties & licenses 1

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

Addresses

Primary practice location

1390 Capital Blvd
Raleigh, NC 27603-1118

Mailing address

1390 Capital Blvd
Raleigh, NC 27603-1118
Phone (919) 836-1642

Other names 1

  • Open Door Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1390 Capital Blvd
Raleigh, NC 27603
Phone (919) 256-2180

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18383/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1740527217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 CAPITAL BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276031118",
            "telephone_number": "919-836-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 CAPITAL BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276031118",
            "telephone_number": "919-836-1642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN MINISTRIES OF WAKE COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-03",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "ESCOBAR",
        "authorized_official_first_name": "PABLO",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "919-256-2180",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Open Door Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.