OPEN DOOR CLINIC
NPI 1740527217
Community/Behavioral Health in Raleigh, NC

NPI Status: Active since January 03, 2013

Contact Information

1390 CAPITAL BLVD
RALEIGH, NC
ZIP 27603
Phone: (919) 836-1642

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  • Organization
  • Community/Behavioral Health
  • CLIA Number: 34D0240356
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 08-31-2026

About OPEN DOOR CLINIC

This page provides the complete NPI Profile along with additional information for Open Door Clinic, a provider established in Raleigh, North Carolina operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1740527217 assigned on January 2013. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Open Door Clinic. The authorized official of this NPI record is Mr. Pablo Joseph Escobar Mpa (Clinic Director)

NPI
1740527217
Provider Legal Name
URBAN MINISTRIES OF WAKE COUNTY, INC.
Other Organization Name
OPEN DOOR CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1390 CAPITAL BLVD RALEIGH, NC 27603
Location Phone
(919) 836-1642
Mailing Address
1390 CAPITAL BLVD RALEIGH, NC 27603
Mailing Phone
(919) 836-1642
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-03-2013
Last Update Date
01-03-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. PABLO JOSEPH ESCOBAR MPA

Authorized Official Title
CLINIC DIRECTOR
Authorized Official Phone
(919) 256-2180

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D0240356
Facility Type
Community Clinic
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
ELIZABETH A. CAMPBELL
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Open Door Clinic in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for OPEN DOOR CLINIC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1740527217
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27801021422
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 8 + 0 + 1 + 0 + 2 + 1 + 4 + 2 + 2 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1740527217 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1881824522DR. ELLEN KAY BLAIR MD
Individual
Internal Medicine1390 CAPITAL BLVD
RALEIGH, NC 27603
(919) 256-2169
1912282146 NATALIE ORLANDO PHARMD
Individual
Pharmacist1390 CAPITAL BLVD
RALEIGH, NC 27603
(919) 836-1942
1265772024DR. WILLIAM ROBERT GOLDSTON M.D.
Individual
Obstetrics & Gynecology (Gynecology)1390 CAPITAL BLVD
RALEIGH, NC 27603
(919) 832-0820
1205211471URBAN MINISTRIES
Organization
Voluntary or Charitable1390 CAPITAL BLVD
RALEIGH, NC 27603
(919) 836-1642
1063444602DR. GLENN D CRATER MD
Individual
Internal Medicine (Pulmonary Disease)1390 CAPITAL BLVD
RALEIGH, NC 27603
(919) 836-1642
1235614207DR. MICHAEL DAVID GROSS MD
Individual
Family Medicine (Adult Medicine)1390 CAPITAL BLVD
RALEIGH, NC 27603
(919) 256-2180
1770068470 MEGAN MARIA DAVIES MD
Individual
Family Medicine1390 CAPITAL BLVD
RALEIGH, NC 27603
(919) 836-1642
1831669399 BARBARA LESPERANCE
Individual
Registered Nurse (Diabetes Educator)1390 CAPITAL BLVD
RALEIGH, NC 27603
(919) 303-0284
1760149967 MARY GRAY WAHL RN
Individual
Registered Nurse (Diabetes Educator)1390 CAPITAL BLVD
RALEIGH, NC 27603
(919) 256-2180
1972229193 CARRIE GAYLE ROSS FNP
Individual
Nurse Practitioner (Family)1390 CAPITAL BLVD
RALEIGH, NC 27603
(919) 836-1642
1346313475 PETER JOSEPH MORRIS MD
Individual
Preventive Medicine (Public Health & General Preventive Medicine)1390 CAPITAL BLVD
RALEIGH, NC 27603
(919) 414-5050
1497281703 VANESSA VALENCIA
Individual
Nurse Practitioner (Family)1390 CAPITAL BLVD
RALEIGH, NC 27603
(919) 836-1642
1326875295 ABIGAIL MICHENFELDER MSN, RN, AGNP-C
Individual
Nurse Practitioner (Primary Care)1390 CAPITAL BLVD
RALEIGH, NC 27603
(919) 836-1642

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740527217, enumerated in the NPI registry as an "organization" on January 03, 2013

The provider is located at 1390 Capital Blvd Raleigh, Nc 27603 and the phone number is (919) 836-1642

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

The provider's CLIA number is 34D0240356 for a "community clinic" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on January 03, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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