The Custom Source Inc

ActiveOrganizationSpecialty not listed
NPI issued: December 7, 2005

Quick Facts

NPI Number
1114902665
TypeOrganization
StatusActive
SpecialtySpecialty not listed
Taxonomy222Z00000X — Specialty not listed
Phone
(704) 893-5457
StateNC

NPI Validation Status: Verified

Valid 10-digit NPI number (1114902665)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (December 7, 2005)
Data source: CMS NPPES

Provider Overview

THE CUSTOM SOURCE INC is a Healthcare provider based in Matthews, NC who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1114902665
Provider TypeOrganization
StatusActive
Enumeration DateDecember 7, 2005

Practice Location

CityMatthews
StateNC
ZIP Code28104-8567
Phone(704) 893-5457

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code222Z00000X
License StateNC

Mailing Address

CityMatthews
StateNC
ZIP Code28104-8567
Phone(704) 893-5457
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1114902665 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1114902665for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1114902665 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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2,081
Specialty not listed Providers in the US

Similar Providers in Matthews

Caleb Rogers, CO

📍 Matthews, NC 28105-4983

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Laura Leigh Younce, MD

Cardiology

Robert Price, MD

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People Also Ask

What is The Custom Source Inc's NPI number?
The Custom Source Inc's NPI number is 1114902665, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is The Custom Source Inc's NPI currently active?
Yes, The Custom Source Inc's NPI status is Active as of the latest CMS NPPES database updates.
What does The Custom Source Inc specialize in?
The Custom Source Inc specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 222Z00000X.
Where does The Custom Source Inc practice?
The Custom Source Inc practices in Matthews, NC 28104-8567.
When was The Custom Source Inc's NPI issued?
The Custom Source Inc's NPI was issued on December 7, 2005.
What is The Custom Source Inc's provider type?
The Custom Source Inc is registered as an Organization under CMS NPI Type 2.