NPIMap

Organization Active NPI

Carolina Sports Medicine &Orthopaedic Specialists PA

  • Specialist
  • Wilmington, NC
National Provider Identifier
1861425233
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CAROLINA SPORTS MEDICINE &ORTHOPAEDIC SPECIALISTS PA
Practice address
1717 Shipyard Blvd
Suite 350
Wilmington, NC 28403-8023
Phone
(910) 799-0110
Fax
(910) 799-1958
NPI assigned
Jul 9, 2006
Last updated
Nov 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Authorized official

Name
Dr. David A Esposito, MDNPI 1407895410
Title
President
Phone
(910) 799-0110

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Prosthetic/Orthotic Supplier 335E00000X NU
Specialist 174400000X NU Primary

Addresses

Primary practice location

1717 Shipyard Blvd
Suite 350
Wilmington, NC 28403-8023

Mailing address

1717 Shipyard Blvd
Suite 350
Wilmington, NC 28403-8023
Phone (910) 799-0110

Other identifiers 3

IdentifierTypeStateIssuer
0262NOtherNCBCBS PROVIDER NUMBER
890262NMedicaidNC
22064OtherNCCIGNA PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

200 Doctors Dr
Ste J
Jacksonville, NC 28546
Phone (910) 333-0814

612 Jefferson St
Whiteville, NC 28472
Phone (910) 642-2250

1717 Shipyard Blvd
Ste 320
Wilmington, NC 28403
Phone (910) 791-0396

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1861425233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 SHIPYARD BLVD",
            "address_2": "SUITE 350",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038023",
            "telephone_number": "910-799-0110",
            "fax_number": "910-799-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 SHIPYARD BLVD",
            "address_2": "SUITE 350",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038023",
            "telephone_number": "910-799-0110",
            "fax_number": "910-799-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA SPORTS MEDICINE &ORTHOPAEDIC SPECIALISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "ESPOSITO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-799-0110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "0262N",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890262N",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "22064",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.