Organization Active NPI

Mighty Warriors Christian Fellowship

  • Specialist
  • Goldsboro, NC
National Provider Identifier
1811280837
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ATYPICAL Issued in NC
Legal business name
MIGHTY WARRIORS CHRISTIAN FELLOWSHIP
Practice address
157 Old Grantham Rd
Goldsboro, NC 27530-5617
Phone
(919) 273-3587
NPI assigned
May 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Authorized official

Name
Dr. Gary Anthony Howell, T.M.D.
Title
Director
Phone
(919) 273-3587

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ATYPICAL NC Primary

Addresses

Primary practice location

157 Old Grantham Rd
Goldsboro, NC 27530-5617

Mailing address

904 Devereaux St
Goldsboro, NC 27530
Phone (919) 648-3107

Other names 1

  • Theopathic Health & Wellness Institute Doing business as

National Provider Directory

National Provider Directory

Locations

157 Old Grantham Rd
Goldsboro, NC 27530
Phone (919) 273-3587

NPI Registry JSON

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306195200000",
    "number": "1811280837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 DEVEREAUX ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "27530",
            "telephone_number": "919-648-3107",
            "fax_number": "919-710-8245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 OLD GRANTHAM RD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275305617",
            "telephone_number": "919-273-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGHTY WARRIORS CHRISTIAN FELLOWSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-24",
        "status": "A",
        "authorized_official_last_name": "HOWELL",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-273-3587",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "T.M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "ATYPICAL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Theopathic Health & Wellness Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.