CR3 Diabetes Association, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

02159 Issued in NC

Legal business name

CR3 DIABETES ASSOCIATION, INC.

Practice address

121 Edinburgh South Dr
208
Cary, NC 27511-6448

Phone

(919) 303-6949

Fax

(919) 267-9629

NPI assigned

Jul 13, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Charles Lewis Ray III, N/A

Title

President

Phone

(919) 303-6949

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1881078525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 EDINBURGH SOUTH DR",
            "address_2": "208",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116448",
            "telephone_number": "919-303-6949",
            "fax_number": "919-267-9629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 EDINBURGH SOUTH DR",
            "address_2": "208",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116448",
            "telephone_number": "919-303-6949",
            "fax_number": "919-267-9629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CR3 DIABETES ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-303-6949",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "02159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holden Cox
• Jasmine Leigh Cox
• Seth Cox
• Tayler Cox
• Darrel Cozart
• Craft Counseling & Consultation Services, PLLC
• Craig Dorion DDS MPH PA II
• Andrew Ryan Craig
• Elizabeth Craig, PHD, MS, MA, LCMHCA
• Natasha Monique Craig

• Durable Medical Equipment & Medical Supplies in Cary, NC
• Providers in Cary, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.