Organization Active NPI

Carolina Express Care

  • Medical Physician Assistant
  • Knightdale, NC
National Provider Identifier
1891739678
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
101583 Issued in NC
Legal business name
CAROLINA EXPRESS CARE
Practice address
502 McKnight Dr
Knightdale, NC 27545-7050
Phone
(919) 217-1411
Fax
(919) 217-3084
NPI assigned
Jun 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dale E. White, PA
Title
Owner
Phone
(919) 217-1411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X 101583 NC Primary

Addresses

Primary practice location

502 McKnight Dr
Knightdale, NC 27545-7050

Mailing address

502 McKnight Dr
Knightdale, NC 27545-7050
Phone (919) 217-1411

Other identifiers 1

IdentifierTypeStateIssuer
89013YJMedicaidNC

National Provider Directory

National Provider Directory

Locations

535 W Gannon Ave
#1
Zebulon, NC 27597
Phone (919) 269-8331

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891739678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 MCKNIGHT DR",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457050",
            "telephone_number": "919-217-1411",
            "fax_number": "919-217-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 MCKNIGHT DR",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457050",
            "telephone_number": "919-217-1411",
            "fax_number": "919-217-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA EXPRESS CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-217-1411",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "101583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89013YJ",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knightdale, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.