Active NPI
Majure Skin Care & Wellness Center, PA
- Family Medicine Physician
- Mount Airy, NC
National Provider Identifier
1871768507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 200101087
- Legal business name
- MAJURE SKIN CARE & WELLNESS CENTER, PA
- Practice address
- 348 N South St
Mount Airy, NC 27030-3532 - Phone
- (336) 786-6945
- Fax
- (336) 789-5782
- NPI assigned
- Apr 24, 2008
- Last updated
- Jul 30, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David A Majure, MD
- Title
- Owner
- Phone
- (336) 786-6945
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 200101087 | NC | Primary |
Addresses
Primary practice location
348 N South St
Mount Airy, NC 27030-3532
Mailing address
348 N South St
Mount Airy, NC 27030-3532
Phone (336) 786-6945
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021VN | Other | NC | BCBS |
| 5911545 | Medicaid | NC | |
| DS1904 | Other | NC | RR MEDICARE |
| 8276614 | Other | CIGNA | |
| 1290H | Other | NC | BCBS |
National Provider Directory
National Provider DirectoryLocations
2007 N Main St
Mount Airy, NC 27030
Phone (336) 786-6945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375142400000",
"number": "1871768507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "348 N SOUTH ST",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270303532",
"telephone_number": "336-786-6945",
"fax_number": "336-789-5782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "348 N SOUTH ST",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270303532",
"telephone_number": "336-786-6945",
"fax_number": "336-789-5782"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAJURE SKIN CARE & WELLNESS CENTER, PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-24",
"last_updated": "2013-07-30",
"status": "A",
"authorized_official_last_name": "MAJURE",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "336-786-6945",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "200101087",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "021VN",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5911545",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DS1904",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8276614",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1290H",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Airy, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.