NPIMap

Organization Active NPI

Triangle Spine & Sports Medicine

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Apex, NC
National Provider Identifier
1962659045
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
200401089 Issued in NC
Legal business name
TRIANGLE SPINE & SPORTS MEDICINE
Practice address
1051 Pemberton Hill Rd
Suite 102
Apex, NC 27502-4267
Phone
(919) 335-0911
Fax
(919) 362-6911
NPI assigned
Aug 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Dr. Hari K Kuncha, MDNPI 1992751903
Title
President
Phone
(919) 335-0911

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
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 200401089 NC Primary

Addresses

Primary practice location

1051 Pemberton Hill Rd
Suite 102
Apex, NC 27502-4267

Mailing address

1051 Pemberton Hill Rd
Suite102
Apex, NC 27502-4267
Phone (919) 335-0911

Other identifiers 1

IdentifierTypeStateIssuer
89138TJMedicaidNC

National Provider Directory

National Provider Directory

Locations

1051 Pemberton Hill Rd
Ste 102
Apex, NC 27502
Phone (919) 335-0911

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": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1962659045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 PEMBERTON HILL RD",
            "address_2": "SUITE102",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275024267",
            "telephone_number": "919-335-0911",
            "fax_number": "919-362-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 PEMBERTON HILL RD",
            "address_2": "SUITE 102",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275024267",
            "telephone_number": "919-335-0911",
            "fax_number": "919-362-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIANGLE SPINE & SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "KUNCHA",
        "authorized_official_first_name": "HARI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-335-0911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NC",
            "license": "200401089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89138TJ",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.