Active NPI
Caromont Medical Group Inc
- Cardiovascular Disease Physician
- Gastonia, NC
National Provider Identifier
1992082879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- CAROMONT MEDICAL GROUP INC
- Practice address
- 2555 Court Dr
Suite 300
Gastonia, NC 28054-2134 - Phone
- (704) 868-3256
- Fax
- (704) 332-3621
- NPI assigned
- Nov 7, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Craig Allen Dunker
- Title
- VP Practice Management
- Phone
- (704) 834-2135
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
2555 Court Dr
Suite 300
Gastonia, NC 28054-2134
Mailing address
2555 Court Dr
Suite 300
Gastonia, NC 28054-2134
Phone (704) 868-3256
Other names 1
- CaroMont Cardiology
National Provider Directory
National Provider Directory- Tax ID family
- Gaston Health Resources
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320624000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320624000000",
"number": "1992082879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2555 COURT DR",
"address_2": "SUITE 300",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280542134",
"telephone_number": "704-868-3256",
"fax_number": "704-332-3621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 COURT DR",
"address_2": "SUITE 300",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280542134",
"telephone_number": "704-868-3256",
"fax_number": "704-332-3621"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROMONT MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-07",
"last_updated": "2011-11-07",
"status": "A",
"authorized_official_last_name": "DUNKER",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "VP PRACTICE MANAGEMENT",
"authorized_official_telephone_number": "704-834-2135"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CaroMont Cardiology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.