Active NPI
John J. Halpin, PA-C
- Physician Assistant
- Knightdale, NC
National Provider Identifier
1821074055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 101568
- Practice address
- 162 Legacy Oaks Dr
Suite 101
Knightdale, NC 27545-6501 - Phone
- (919) 232-5205
- Fax
- (919) 373-7890
- NPI assigned
- Dec 20, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 101568 | NC | Primary |
Addresses
Primary practice location
162 Legacy Oaks Dr
Suite 101
Knightdale, NC 27545-6501
Mailing address
120 William Penn PLZ
Durham, NC 27704-2150
Phone (919) 220-5255
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22447 | NC | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251072000000",
"number": "1821074055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 WILLIAM PENN PLZ",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042150",
"telephone_number": "919-220-5255",
"fax_number": "919-220-6971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 LEGACY OAKS DR",
"address_2": "SUITE 101",
"city": "KNIGHTDALE",
"state": "NC",
"postal_code": "275456501",
"telephone_number": "919-232-5205",
"fax_number": "919-373-7890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALPIN",
"first_name": "JOHN",
"middle_name": "J.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-20",
"last_updated": "2009-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "101568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knightdale, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.