Organization Active NPI

Majure Skin Care & Wellness Center, PA

  • Family Medicine Physician
  • Mount Airy, NC
National Provider Identifier
1871768507
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200101087 Issued in NC
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
021VNOtherNCBCBS
5911545MedicaidNC
DS1904OtherNCRR MEDICARE
8276614OtherCIGNA
1290HOtherNCBCBS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.