Organization Active NPI

Carolina Arthritis Allergy & Rheumatology Eval & TRMT Ctr PA

  • Medical Specialty Clinic/Center
  • Raleigh, NC
National Provider Identifier
1942525613
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
26292 Issued in NC
Legal business name
CAROLINA ARTHRITIS ALLERGY & RHEUMATOLOGY EVAL & TRMT CTR PA
Practice address
1631 Midtown PL
Suite 101
Raleigh, NC 27609-1300
Phone
(919) 954-1404
Fax
(919) 954-1192
NPI assigned
Apr 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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

Authorized official

Name
Mrs. Cheryl Kopp
Title
Office Manager
Phone
(919) 954-1404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 26292 NC Primary

Addresses

Primary practice location

1631 Midtown PL
Suite 101
Raleigh, NC 27609-1300

Mailing address

1631 Midtown PL
Suite 101
Raleigh, NC 27609-1300
Phone (919) 954-1404

Other identifiers 2

IdentifierTypeStateIssuer
50075OtherNCBCBS
8950075MedicaidNC

National Provider Directory

National Provider Directory

Locations

1631 Midtown Pl
Ste 101
Raleigh, NC 27609
Phone (919) 954-1404

NPI Registry JSON

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1942525613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 MIDTOWN PL",
            "address_2": "SUITE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276091300",
            "telephone_number": "919-954-1404",
            "fax_number": "919-954-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 MIDTOWN PL",
            "address_2": "SUITE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276091300",
            "telephone_number": "919-954-1404",
            "fax_number": "919-954-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA ARTHRITIS ALLERGY & RHEUMATOLOGY EVAL & TRMT CTR PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "KOPP",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "919-954-1404",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NC",
            "license": "26292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "50075",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8950075",
            "state": "NC"
        }
    ],
    "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 Apr 6, 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.