NPIMap

Organization Active NPI

John Keith Earl

  • Family Medicine Physician
  • Hickory, NC
National Provider Identifier
1932217551
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20785 Issued in NC
Legal business name
JOHN KEITH EARL
Practice address
1650 5TH St NW
Hickory, NC 28601-5208
Phone
(828) 465-0811
Fax
(828) 465-0811
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Authorized official

Name
Dr. John Keith Earl, MD
Title
Partner
Phone
(828) 465-0811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 20785 NC Primary

Addresses

Primary practice location

1650 5TH St NW
Hickory, NC 28601-5208

Mailing address

1650 5TH St NW
Hickory, NC 28601-5208
Phone (828) 465-0811

Other identifiers 2

IdentifierTypeStateIssuer
29807OtherNCBCBS
5950375MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1932217551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 5TH ST NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286015208",
            "telephone_number": "828-465-0811",
            "fax_number": "828-465-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 5TH ST NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286015208",
            "telephone_number": "828-465-0811",
            "fax_number": "828-465-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN KEITH EARL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "EARL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "828-465-0811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "20785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "29807",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5950375",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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.