1326607763 NPI number — DR. DANO ANDREW NORCEIDE JR. DPT, CSCS, USA-W

Table of content: DR. DANO ANDREW NORCEIDE JR. DPT, CSCS, USA-W (NPI 1326607763)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326607763 NPI number — DR. DANO ANDREW NORCEIDE JR. DPT, CSCS, USA-W

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NORCEIDE
Provider First Name:
DANO
Provider Middle Name:
ANDREW
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
JR.
Provider Credential Text:
DPT, CSCS, USA-W
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326607763
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/27/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
981 HIGH HOUSE RD STE 100
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CARY
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27513-3510
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-388-0111
Provider Business Mailing Address Fax Number:
919-388-8668

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
853 OLD WINSTON RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KERNERSVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27284-7143
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-310-0750
Provider Business Practice Location Address Fax Number:
336-310-0755
Provider Enumeration Date:
06/10/2019

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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