Active NPI
Richard Stephen Neubauer III, RD, LDN
- Registered Dietitian
- Raleigh, NC
National Provider Identifier
1881912939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L002755
- Practice address
- 2620 New Bern Ave
Raleigh, NC 27610 - Phone
- (919) 833-5376
- NPI assigned
- May 13, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L002755 | NC | Primary |
Addresses
Primary practice location
2620 New Bern Ave
Raleigh, NC 27610
Mailing address
2620 New Bern Ave
Raleigh, NC 27610
Phone (919) 215-6571
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L002755 | NC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276128000000",
"number": "1881912939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 NEW BERN AVE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27610",
"telephone_number": "919-215-6571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 NEW BERN AVE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27610",
"telephone_number": "919-833-5376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEUBAUER",
"first_name": "RICHARD",
"middle_name": "STEPHEN",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "RD, LDN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-13",
"last_updated": "2010-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L002755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.