NPIMap

Organization Active NPI

Mint Hill Primary Care PLLC

  • Family Medicine Physician
  • Mint Hill, NC
National Provider Identifier
1811207418
Registry record updated Nov 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
168432 Issued in NC
Legal business name
MINT HILL PRIMARY CARE PLLC
Practice address
11304 Hawthorne Dr
Suite 100
Mint Hill, NC 28227-9437
Phone
(704) 545-6400
Fax
(704) 377-7656
NPI assigned
Oct 15, 2010
Last updated
Nov 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2010

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

Authorized official

Name
Dr. Joseph B Whalen, MDNPI 1487627105
Title
Physician
Phone
(704) 545-6400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 168432 NC Primary

Addresses

Primary practice location

11304 Hawthorne Dr
Suite 100
Mint Hill, NC 28227-9437

Mailing address

11304 Hawthorne Dr
Suite 100
Mint Hill, NC 28227-9437
Phone (704) 545-6400

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1287100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1811207418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11304 HAWTHORNE DR",
            "address_2": "SUITE 100",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282279437",
            "telephone_number": "704-545-6400",
            "fax_number": "704-377-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11304 HAWTHORNE DR",
            "address_2": "SUITE 100",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282279437",
            "telephone_number": "704-545-6400",
            "fax_number": "704-377-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINT HILL PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-15",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "WHALEN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "704-545-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "168432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mint Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.