NPIMap

Organization Active NPI

Dare County Administrative Offices

Doing business as Dare County Department of Public Health

  • State or Local Public Health Clinic/Center
  • Manteo, NC
National Provider Identifier
1770637381
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
DARE COUNTY ADMINISTRATIVE OFFICES
Doing business as
Dare County Department of Public Health
Practice address
109 Exeter St
Manteo, NC 27954-9400
Phone
(252) 475-5003
Fax
(252) 473-2153
NPI assigned
Jan 22, 2007
Last updated
Apr 29, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
DARE COUNTY ADMINISTRATIVE OFFICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
Dr. Sheila F Davies, PHD
Title
Health Director
Phone
(252) 475-5003

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community Health Clinic/Center 261QC1500X
Dental Clinic/Center 261QD0000X
Non-Surgical Family Planning Clinic/Center 261QF0050X
Multi-Specialty Clinic/Center 261QM1300X
State or Local Public Health Clinic/Center 261QP0905X Primary
Primary Care Clinic/Center 261QP2300X
Clinical Medical Laboratory 291U00000X
Clinic Pharmacy 3336C0002X 04834 NC

Addresses

Primary practice location

109 Exeter St
Manteo, NC 27954-9400

Mailing address

PO Box 1000
Manteo, NC 27954-1000
Phone (252) 475-5003

Other identifiers 3

IdentifierTypeStateIssuer
3404328MedicaidNC
2106582OtherNCMAMSI PROVIDER NUMBER
0721GOtherNCBCBS PROVIDER NUMBER

Other names 1

  • Dare County Department of Public Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040105000165 NC Part B Supplier - Clinic/Group Practice 9335048834 Receives reassigned benefits from 7 practitioners
Practice locations: Manteo, NC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Dare Co Admin Offices2 organizations share this tax ID, including this one
Part of
Dare Co Admin Offices

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

200 Ananias Dare St
Manteo, NC 27954
Phone (252) 473-1101

109 Exeter St
Manteo, NC 27954
Phone (252) 475-5003

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1770637381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "city": "MANTEO",
            "state": "NC",
            "postal_code": "279541000",
            "telephone_number": "252-475-5003",
            "fax_number": "252-473-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 EXETER ST",
            "city": "MANTEO",
            "state": "NC",
            "postal_code": "279549400",
            "telephone_number": "252-475-5003",
            "fax_number": "252-473-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARE COUNTY ADMINISTRATIVE OFFICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DARE COUNTY ADMINISTRATIVE OFFICES",
        "enumeration_date": "2007-01-22",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "DAVIES",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "252-475-5003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NC",
            "license": "04834",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404328",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI PROVIDER NUMBER",
            "identifier": "2106582",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "0721G",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dare County Department of Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manteo, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.