Organization Active NPI

Halo Health, PC

  • Family Medicine Physician
  • Raleigh, NC
National Provider Identifier
1972134765
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HALO HEALTH, PC
Practice address
702 Oberlin Rd Ste 230
Raleigh, NC 27605-3316
Phone
(919) 830-3224
Fax
(833) 908-2350
NPI assigned
Jan 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Authorized official

Name
Dr. Daniel Minior, MDNPI 1427151737
Title
Ceo
Phone
(646) 369-0977

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

702 Oberlin Rd Ste 230
Raleigh, NC 27605-3316

Mailing address

702 Oberlin Rd Ste 230
Raleigh, NC 27605-3316
Phone (919) 830-3224

Other practice location 1

702 Oberlin Rd Ste 100
Raleigh, NC 27605-1357
Phone (919) 830-3224

Other identifiers 1

IdentifierTypeStateIssuer
NC200400717OtherNCNC PHYSICIANS LICENSE

Other names 1

  • Halo Health, PC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@haloconciergedoctors.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210107000933 NC Part B Supplier - Clinic/Group Practice 6204249493 Receives reassigned benefits from 4 practitioners
Practice locations: Raleigh, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2297826Halo Health PC702 Oberlin Rd, Suite 230, Raleigh, NC 27605Certificate of waiverJan 22, 2028

National Provider Directory

National Provider Directory

Locations

702 Oberlin Rd
Raleigh, NC 27605

702 Oberlin Rd
Ste 230
Raleigh, NC 27605
Phone (919) 830-3224

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21214/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

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": "1580342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1972134765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 OBERLIN RD STE 230",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276053316",
            "telephone_number": "919-830-3224",
            "fax_number": "833-908-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 OBERLIN RD STE 230",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276053316",
            "telephone_number": "919-830-3224",
            "fax_number": "833-908-2350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "702 Oberlin Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276051357",
            "country_code": "US",
            "telephone_number": "919-830-3224",
            "fax_number": "833-908-2350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HALO HEALTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-30",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "MINIOR",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-369-0977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC PHYSICIANS LICENSE",
            "identifier": "NC200400717",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@haloconciergedoctors.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "702 Oberlin Rd Ste 100",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276051357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Halo Health, PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Halo Health, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.