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1821961947 NPI number — CAROLINA ENDOCRINOLOGY & DIABETES, LLC

NPI Number: 1821961947
Health Care Provider/Practitioner: CAROLINA ENDOCRINOLOGY & DIABETES, LLC

Information about “1821961947” NPI (CAROLINA ENDOCRINOLOGY & DIABETES, LLC) exists in 1821961947 in HTML format HTML  |  1821961947 in plain Text format TXT  |  1821961947 in PDF (Portable Document Format) PDF  |  1821961947 in an XML format XML  formats.

NPI Number : 1821961947 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1821961947",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CAROLINA ENDOCRINOLOGY & DIABETES, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2206 WATERMARK POINT PL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FORT MILL",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29708-4302",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "803-548-3636",
    "MailingAddressFaxNumber": "803-548-3633",
    "FirstLinePracticeLocationAddress": "1658 HIGHWAY 160 W",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FORT MILL",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29708-8024",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "704-641-5835",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/25/2025",
    "LastUpdateDate": "10/21/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SINGHI",
    "AuthorizedOfficialFirstName": "RYAN",
    "AuthorizedOfficialMiddleName": "KUMAR",
    "AuthorizedOfficialTitle": "MD/OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "803-548-3636",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207RE0101X",
        "TaxonomyName": "Endocrinology, Diabetes & Metabolism Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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