Individual provider Active NPI

Carolina Vera Resendiz, D.D.S,MS

  • Prosthodontics
  • Chapel Hill, NC
National Provider Identifier
1881052025
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
9908 Issued in NC
Practice address
101 Manning Dr
Campus Box 7450
Chapel Hill, NC 27514-4220
Phone
(919) 428-0522
NPI assigned
Feb 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 9908 NC Primary

Addresses

Primary practice location

101 Manning Dr
Campus Box 7450
Chapel Hill, NC 27514-4220

Mailing address

21 Twinleaf PL
Durham, NC 27705-1956
Phone (919) 428-0522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160212000535 NC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8123322047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
9908NCMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1881052025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 TWINLEAF PL",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277051956",
            "telephone_number": "919-428-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MANNING DR",
            "address_2": "CAMPUS BOX 7450",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275144220",
            "telephone_number": "919-428-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERA RESENDIZ",
        "first_name": "CAROLINA",
        "name_prefix": "Dr.",
        "credential": "D.D.S,MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NC",
            "license": "9908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.