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ROBERT KEVIN STACK M.D.
NPI 1982795886
Specialist in Charlotte, NC

Active since September 27, 2006
1928 RANDOLPH RD STE 308, CHARLOTTE, NC 28207(704) 333-1363(704) 333-6617 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Robert Kevin Stack M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT KEVIN STACK M.D. (NPI 1982795886) is an individual specialist in Charlotte, North Carolina, licensed in North Carolina (26989) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1982795886
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameROBERT KEVIN STACKCredential: M.D.
Location Address1928 RANDOLPH RD STE 308Charlotte, NC 28207-1105
Mailing Address1928 Randolph Rd Ste 308Charlotte, NC 28207-1105 · (704) 333-1363 · Fax (704) 333-6617
Phone(704) 333-1363
Fax(704) 333-6617
Sole ProprietorYes
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJuly 21, 2022
✔ NPI 1982795886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NC · 26989
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1928 RANDOLPH RD STE 308, Charlotte, NC 28207
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Other Identifiers 1

Medicaid8979122NC

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Stack's NPI number?

The NPI number for Robert Stack is 1982795886. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Robert Stack located?

Robert Stack practices at 1928 Randolph Rd Ste 308, Charlotte, NC 28207. The listed phone number is (704) 333-1363.

What is Robert Stack's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Robert Stack was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.