Organization Active NPI

Chapel Hill Orthopedic Surgery and Sports Medicine PC

  • Orthopaedic Surgery Physician
  • Chapel Hill, NC
National Provider Identifier
1881664027
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
25332 Issued in NC
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

Updated by the provider on Jan 5, 2017

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
8946761MedicaidNC

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.