Active NPI
John Edwin Lacouture Jr., M.D.
- Specialist
- Charlotte, NC
National Provider Identifier
1801897160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 22934
- Practice address
- 330 Billingsley Rd
Suite 103
Charlotte, NC 28211-5055 - Phone
- (704) 369-0437
- Fax
- (704) 369-0440
- NPI assigned
- Aug 9, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 22934 | NC | Primary |
Addresses
Primary practice location
330 Billingsley Rd
Suite 103
Charlotte, NC 28211-5055
Mailing address
330 Billingsley Rd
Suite 103
Charlotte, NC 28211-5055
Phone (704) 369-0437
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457308800000",
"number": "1801897160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 BILLINGSLEY RD",
"address_2": "SUITE 103",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282115055",
"telephone_number": "704-369-0437",
"fax_number": "704-369-0440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 BILLINGSLEY RD",
"address_2": "SUITE 103",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282115055",
"telephone_number": "704-369-0437",
"fax_number": "704-369-0440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACOUTURE",
"first_name": "JOHN",
"middle_name": "EDWIN",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2016-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "22934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.