Organization Active NPI

Chauncey B Santos MD PC

  • Orthopaedic Surgery Physician
  • Jefferson, NC
National Provider Identifier
1801877345
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
30089 Issued in NC
Legal business name
CHAUNCEY B SANTOS MD PC
Practice address
200 Hospital Ave
Ste 2
Jefferson, NC 28640-0880
Phone
(336) 846-1222
Fax
(336) 846-1224
NPI assigned
Nov 10, 2005
Last updated
Jul 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Dr. Chauncey B Santos, MD PC
Title
Orthopedic Surgeon
Phone
(336) 846-1222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 30089 NC Primary

Addresses

Primary practice location

200 Hospital Ave
Ste 2
Jefferson, NC 28640-0880

Mailing address

PO Box 880
Jefferson, NC 28640-0880
Phone (336) 846-1222

Other identifiers 1

IdentifierTypeStateIssuer
89135PYMedicaidNC

National Provider Directory

National Provider Directory

Locations

200 Hospital Ave
Ste 2
Jefferson, NC 28640
Phone (336) 246-1222

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1801877345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "286400880",
            "telephone_number": "336-846-1222",
            "fax_number": "336-846-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL AVE",
            "address_2": "STE 2",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "286400880",
            "telephone_number": "336-846-1222",
            "fax_number": "336-846-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAUNCEY B SANTOS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "CHAUNCEY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ORTHOPEDIC SURGEON",
        "authorized_official_telephone_number": "336-846-1222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PC"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "30089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89135PY",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.