Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Raleigh Capitol Ear, Nose, and Throat

Organization Otolaryngology Physician · NPI 1902170442

Raleigh Capitol Ear, Nose, and Throat is an Otolaryngology Physician in Raleigh, North Carolina. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

4600 Lake Boone Trl
Raleigh, NC 27607-7528
Phone: (919) 787-1374
Fax: (919) 420-2028
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X

Record details

NPI number1902170442
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jenny Beal — Billing Manager · (919) 809-8140
NPI enumeratedMarch 1, 2012
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026
Mailing address4600 Lake Boone Trl, Raleigh, NC 27607-7528

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