NPIMap

Organization Active NPI

University of North Carolina at Chapel Hill

  • Primary Care Clinic/Center
  • Chapel Hill, NC
National Provider Identifier
1811915705
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
Practice address
1838 Martin Luther King Jr Blvd
Suite 19B
Chapel Hill, NC 27514-7415
Phone
(919) 960-7461
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Keith Gran
Title
Coo
Phone
(919) 843-4810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1838 Martin Luther King Jr Blvd
Suite 19B
Chapel Hill, NC 27514-7415

Mailing address

143 W Franklin St
Chapel Hill, NC 27516-2539
Phone (919) 843-4810

Other identifiers 1

IdentifierTypeStateIssuer
790258CMedicaidNC

Other names 1

  • University Obstetrics & Gynecology at Chapel Hill North Medical Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1811915705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 W FRANKLIN ST",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275162539",
            "telephone_number": "919-843-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 19B",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275147415",
            "telephone_number": "919-960-7461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "GRAN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "919-843-4810"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790258C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Obstetrics & Gynecology at Chapel Hill North Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.