Organization Active NPI

Carolina Diabetes and Endocrinology Center, P.C.

  • Specialist
  • Dunn, NC
National Provider Identifier
1942584388
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CAROLINA DIABETES AND ENDOCRINOLOGY CENTER, P.C.
Practice address
520 Erwin Rd
Dunn, NC 28334-4518
Phone
(910) 292-2066
NPI assigned
Oct 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Authorized official

Name
Dr. Bede I. Nnolim, M.D.NPI 1154336634
Title
Medical Director
Phone
(910) 292-2066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

520 Erwin Rd
Dunn, NC 28334-4518

Mailing address

520 Erwin Rd
Dunn, NC 28334-4518
Phone (910) 292-2066

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1317686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1942584388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 ERWIN RD",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344518",
            "telephone_number": "910-292-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 ERWIN RD",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344518",
            "telephone_number": "910-292-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA DIABETES AND ENDOCRINOLOGY CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "NNOLIM",
        "authorized_official_first_name": "BEDE",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "910-292-2066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunn, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.