NPIMap

Organization Active NPI

Carolina ENT, PA

  • Otolaryngology Physician
  • Greenville, SC
National Provider Identifier
1972525558
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
CAROLINA ENT, PA
Practice address
131 Commonwealth Dr
Suite 290
Greenville, SC 29615-4883
Phone
(864) 281-9440
NPI assigned
Jul 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Joan Moore
Title
Office Manager
Phone
(864) 281-9440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

131 Commonwealth Dr
Suite 290
Greenville, SC 29615-4883

Mailing address

131 Commonwealth Dr
Suite 290
Greenville, SC 29615-4883
Phone (864) 281-9440

National Provider Directory

National Provider Directory

Locations

131 Commonwealth Dr
Ste 290
Greenville, SC 29615
Phone (864) 281-9440

556 Memorial Drive Ext
Ste B
Greer, SC 29651
Phone (864) 848-9451

879 NE Main St
Ste D
Simpsonville, SC 29681
Phone (864) 288-6140

Practitioners & affiliated clinicians

Practitioners 5

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": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1972525558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 COMMONWEALTH DR",
            "address_2": "SUITE 290",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154883",
            "telephone_number": "864-281-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 COMMONWEALTH DR",
            "address_2": "SUITE 290",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154883",
            "telephone_number": "864-281-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA ENT, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "864-281-9440"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.