Carolina Kidney and Vascular, PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CAROLINA KIDNEY AND VASCULAR, PA

Practice address

2809 McLamb PL
Goldsboro, NC 27534-1647

Phone

(919) 580-9840

Fax

(919) 580-9838

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert Braden Dunmire III, MD

Title

President

Phone

(919) 580-9840

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1861557068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 MCLAMB PL",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341647",
            "telephone_number": "919-580-9840",
            "fax_number": "919-580-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 MCLAMB PL",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341647",
            "telephone_number": "919-580-9840",
            "fax_number": "919-580-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA KIDNEY AND VASCULAR, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "DUNMIRE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BRADEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-580-9840",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890191E",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith Kilauea Carmack, M.D.
• Mario Carmichael
• Carolina Clinical Counseling, PLLC
• Carolina Compounding Center Inc
• Carolina Kidney and Vascular, PA
• Carolina Nephrology PA
• Carolina Outreach, LLC
• Carolina Residential Services, Inc
• Carolina Residential Services, Inc.
• George Carr, LCSW, LCAS, CCS

• Specialist in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.