Active NPI
David Stone
- Substance Abuse Rehabilitation Facility
- Leicester, NC
National Provider Identifier
1780051235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 15274
- Practice address
- 631 Willow Creek Rd
Leicester, NC 28748-5646 - Phone
- (828) 273-8821
- NPI assigned
- Aug 31, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 15274 | NC | Primary |
Addresses
Primary practice location
631 Willow Creek Rd
Leicester, NC 28748-5646
Mailing address
631 Willow Creek Rd
Leicester, NC 28748-5646
Phone (828) 273-8821
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440979200000",
"number": "1780051235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "631 WILLOW CREEK RD",
"city": "LEICESTER",
"state": "NC",
"postal_code": "287485646",
"telephone_number": "828-273-8821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "631 WILLOW CREEK RD",
"city": "LEICESTER",
"state": "NC",
"postal_code": "287485646",
"telephone_number": "828-273-8821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONE",
"first_name": "DAVID",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-31",
"last_updated": "2015-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "NC",
"license": "15274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leicester, NC
- Soundview Family Care Homes (Autumn Village Assisted Living # 4)
- Soundview Family Care Homes (Autumn Village Assisted Living # 3)
- Soundview Family Care Homes, Inc (Autumn View Assisted Living)
- Frances Monroe Spivey, LPCA
- Harry Todd Stebbing, CSAC-I
- Miranda Stoughton
- David Christopher Vargas, MT
- Kelly S Ward, PHD, LCSW, LCADC
- Paul Dudley Weaver, LPC
- Wellgrounded Mental Health, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.