DAVID D MINER MD
Complete NPI Record 1881661569
Obstetrics & Gynecology in Winston Salem, NC
NPI Status: Active since March 02, 2006
Contact Information
114 CHARLOIS BLVD
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 765-5470
Fax: (336) 765-5428
- NPI
- Entity Type Code
- Provider Last Name Legal Name
- Provider First Name
- Provider Middle Name
- Provider Credential Text
- Provider Other Last Name
- Provider Other First Name
- Provider Other Middle Name
- Provider Other Credential Text
- Provider Other Last Name Type Code
- Provider First Line Business Mailing Address
- Provider Business Mailing Address City Name
- Provider Business Mailing Address State Name
- Provider Business Mailing Address Postal Code
- Provider Business Mailing Address Country Code If outside U S
- Provider Business Mailing Address Telephone Number
- Provider Business Mailing Address Fax Number
- Provider First Line Business Practice Location Address
- Provider Business Practice Location Address City Name
- Provider Business Practice Location Address State Name
- Provider Business Practice Location Address Postal Code
- Provider Business Practice Location Address Country Code If outside U S
- Provider Business Practice Location Address Telephone Number
- Provider Business Practice Location Address Fax Number
- Provider Enumeration Date
- Last Update Date
- Provider Gender Code
- Healthcare Provider Taxonomy Code 1
- Provider License Number 1
- Provider License Number State Code 1
- Healthcare Provider Primary Taxonomy Switch 1
- Is Sole Proprietor
- NPI Certification Date
Complete NPI Dataset
This page represents the complete record for NPI 1881661569. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.
- NPI: 1881661569
- The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
- Entity Type Code: 1
- The city name in the mailing address of the provider being identified.
- Provider Last Name Legal Name: MINER
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
- Provider First Name: DAVID
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
- Provider Middle Name: D
- The middle name of the provider, if the provider is an individual.
- Provider Credential Text: MD
- The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
- Provider Other Last Name: MINER
- Other last name by which the provider being identified is or has been known.
- Provider Other First Name: DAVID
- Other first name by which the provider being identified is or has been known (if an individual). This may be the same as the ‘‘Provider first name’’ if the provider is or has been known by a different last name only.
- Provider Other Middle Name: D
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Other Credential Text: MD
- The other abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
- Provider Other Last Name Type Code: 2
- The telephone number associated with the location address of the provider being identified.
- Provider First Line Business Mailing Address: PO BOX 60447
- The date the provider was assigned a unique identifier (assigned an NPI).
- Provider Business Mailing Address City Name: CHARLOTTE
- The date that a record was last updated or changed.
- Provider Business Mailing Address State Name: NC
- The code designating the provider’s gender if the provider is a person.
- Provider Business Mailing Address Postal Code: 282600447
- Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider Business Mailing Address Country Code If outside U S : US
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
- Provider Business Mailing Address Telephone Number: 3367655470
- The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
- Provider Business Mailing Address Fax Number: 3367655428
- Provider First Line Business Practice Location Address: 114 CHARLOIS BLVD
- Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No
- Provider Business Practice Location Address City Name: WINSTON SALEM
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: NC
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 271031522
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 3367655470
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 3367655428
- The fax number associated with the location address of the provider being identified.
- Provider Enumeration Date: 3/2/2006
- The date the provider was assigned a unique identifier (assigned an NPI).
- Last Update Date: 10/25/2020
- The date that a record was last updated or changed.
- Provider Gender Code: M
- The code designating the provider’s gender if the provider is a person.
- Healthcare Provider Taxonomy Code 1: 207V00000X
- Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number 1: 2007-00024
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
- Provider License Number State Code 1: NC
- The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
- Healthcare Provider Primary Taxonomy Switch 1: Y
- Is Sole Proprietor: N
- Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No
- NPI Certification Date: 9/6/2020