Active NPI
Sandra M. Botstein, M.D.
- Specialist
- Durham, NC
National Provider Identifier
1992838395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 38065
- Practice address
- 1801 Fayetteville St
Old Health Building, Student Health and Counseling Serv
Durham, NC 27707-3129 - Phone
- (919) 530-5229
- Fax
- (919) 530-7969
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 38065 | NC | Primary |
Addresses
Primary practice location
1801 Fayetteville St
Old Health Building, Student Health and Counseling Serv
Durham, NC 27707-3129
Mailing address
6710 Falconbridge Rd
Chapel Hill, NC 27517-7878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38065 | NC | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992838395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6710 FALCONBRIDGE RD",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275177878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 FAYETTEVILLE ST",
"address_2": "OLD HEALTH BUILDING, STUDENT HEALTH AND COUNSELING SERV",
"city": "DURHAM",
"state": "NC",
"postal_code": "277073129",
"telephone_number": "919-530-5229",
"fax_number": "919-530-7969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOTSTEIN",
"first_name": "SANDRA",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "38065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.