Active NPI
Chapel Hill Orthopedic Surgery and Sports Medicine PC
- Orthopaedic Surgery Physician
- Chapel Hill, NC
National Provider Identifier
1881664027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 25332
- Legal business name
- CHAPEL HILL ORTHOPEDIC SURGERY AND SPORTS MEDICINE PC
- Practice address
- 101 Conner Dr
Suite 302
Chapel Hill, NC 27514-7038 - Phone
- (919) 968-6008
- Fax
- (919) 967-3860
- NPI assigned
- Jan 23, 2006
- 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 L Roberts
- Title
- Administrator
- Phone
- (919) 968-6008
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 25332 | NC | Primary |
Addresses
Primary practice location
101 Conner Dr
Suite 302
Chapel Hill, NC 27514-7038
Mailing address
101 Conner Dr
Suite 302
Chapel Hill, NC 27514-7038
Phone (919) 968-6008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8946761 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1483574400000",
"number": "1881664027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 CONNER DR",
"address_2": "SUITE 302",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275147038",
"telephone_number": "919-968-6008",
"fax_number": "919-967-3860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 CONNER DR",
"address_2": "SUITE 302",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275147038",
"telephone_number": "919-968-6008",
"fax_number": "919-967-3860"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHAPEL HILL ORTHOPEDIC SURGERY AND SPORTS MEDICINE PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-23",
"last_updated": "2017-01-05",
"status": "A",
"authorized_official_last_name": "ROBERTS",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "919-968-6008",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": "25332",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8946761",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chapel Hill, NC
- Chapel Hill Internal Medicine
- Chapel Hill Internal Medicine
- Chapel Hill OB/GYN
- Chapel Hill Opco, LLC
- Chapel Hill Ophthalmology Clinic, P.a.
- Chapel Hill Pediatric Psychology, PA
- Chapel Hill Pediatric Therapy Inc
- Chapel Hill Pediatrics P.a.
- Chapel Hill Periodontics & Implants
- Chapel Hill Postural Restoration and Scoliosis Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.