Dula Springs Wellness Center PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

201001898 Issued in NC

Legal business name

DULA SPRINGS WELLNESS CENTER PA

Practice address

6 Morningside Dr
Weaverville, NC 28787-9100

Phone

(828) 484-9032

NPI assigned

Dec 10, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Suzanne Dansereau, MD

Title

Owner

Phone

(828) 484-9032

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1962833426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MORNINGSIDE DR",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287879100",
            "telephone_number": "828-484-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MORNINGSIDE DR",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287879100",
            "telephone_number": "828-484-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DULA SPRINGS WELLNESS CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-10",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "DANSEREAU",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-484-9032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "201001898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7116",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.