NPIMap

Organization Active NPI

Triangle E N T Services Association Inc

  • Otolaryngology Physician
  • Durham, NC
National Provider Identifier
1932151198
Registry record updated Aug 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
TRIANGLE E N T SERVICES ASSOCIATION INC
Practice address
4210 N Roxboro St
Suite 140
Durham, NC 27704-1874
Phone
(919) 620-7800
Fax
(919) 620-7807
NPI assigned
May 16, 2006
Last updated
Aug 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2010

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

Authorized official

Name
Robert E Taylor, MDNPI 1831143619
Title
President
Phone
(919) 620-7800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X NU Primary
Otolaryngic Allergy Physician 207YX0602X NU
Audiology Assistant 2355A2700X NU
Speech-Language Pathologist 235Z00000X NU
Hearing Instrument Specialist 237700000X NU

Addresses

Primary practice location

4210 N Roxboro St
Suite 140
Durham, NC 27704-1874

Mailing address

4210 N Roxboro St
Suite 140
Durham, NC 27704-1874
Phone (919) 620-7800

Other identifiers 2

IdentifierTypeStateIssuer
890219VMedicaidNC
0219VOtherNCBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

4210 N Roxboro St
Ste 140
Durham, NC 27704
Phone (919) 620-7800

Practitioners & affiliated clinicians

Practitioners 2

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": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281312000000",
    "number": "1932151198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 N ROXBORO ST",
            "address_2": "SUITE 140",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277041874",
            "telephone_number": "919-620-7800",
            "fax_number": "919-620-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 N ROXBORO ST",
            "address_2": "SUITE 140",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277041874",
            "telephone_number": "919-620-7800",
            "fax_number": "919-620-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIANGLE E N T SERVICES ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2010-08-09",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-620-7800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2355A2700X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Audiology Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890219V",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0219V",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.

Verify at the official NPI Registry.