Organization Active NPI

Northcross Nephrology Center P.C

  • Nephrology Physician
  • Huntersville, NC
National Provider Identifier
1871865873
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NORTHCROSS NEPHROLOGY CENTER P.C
Practice address
16501B Northcross Dr Ste B
Huntersville, NC 28078-5081
Phone
(704) 895-3415
Fax
(704) 895-3416
NPI assigned
Feb 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Authorized official

Name
Dr. Richard Eanni, M.D
Title
President
Phone
(704) 895-3415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

16501B Northcross Dr Ste B
Huntersville, NC 28078-5081

Mailing address

16501B Northcross Dr Ste B
Huntersville, NC 28078-5081
Phone (704) 895-3415

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1871865873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16501B NORTHCROSS DR STE B",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785081",
            "telephone_number": "704-895-3415",
            "fax_number": "704-895-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16501B NORTHCROSS DR STE B",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785081",
            "telephone_number": "704-895-3415",
            "fax_number": "704-895-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHCROSS NEPHROLOGY CENTER P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "EANNI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-895-3415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.