Organization Active NPI

Ihm Sports Medicine

  • Sports Physician Chiropractor
  • Durham, NC
National Provider Identifier
1811360803
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
4283 Issued in NC
Legal business name
IHM SPORTS MEDICINE
Practice address
5490 S Miami Blvd Apt 207
Durham, NC 27703-8284
Phone
(855) 590-9527
NPI assigned
Nov 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Authorized official

Name
Dr. Lowell Thomas Faison, DC
Title
Ceo/Sports Medicine Consultant
Phone
(855) 590-9527

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 4283 NC Primary

Addresses

Primary practice location

5490 S Miami Blvd Apt 207
Durham, NC 27703-8284

Mailing address

PO Box 1146
Morrisville, NC 27560-1146
Phone (855) 590-9527

Other names 1

  • LT Enterprise Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1811360803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1146",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275601146",
            "telephone_number": "855-590-9527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5490 S MIAMI BLVD APT 207",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277038284",
            "telephone_number": "855-590-9527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHM SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "FAISON",
        "authorized_official_first_name": "LOWELL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CEO/SPORTS MEDICINE CONSULTANT",
        "authorized_official_telephone_number": "855-590-9527",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "NC",
            "license": "4283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LT Enterprise",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.

Verify at the official NPI Registry.