Active NPI
Private Diagnostic Clinic, PLLC
- Internal Medicine Physician
- Cary, NC
National Provider Identifier
1013940295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PRIVATE DIAGNOSTIC CLINIC, PLLC
- Practice address
- 3700 NW Cary Pkwy
Suite 100
Cary, NC 27513-8446 - Phone
- (919) 684-8111
- NPI assigned
- Jul 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Paul Dion
- Title
- Chief Financial Officer
- Phone
- (919) 613-7762
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Cardiovascular Disease Physician | 207RC0000X |
Addresses
Primary practice location
3700 NW Cary Pkwy
Suite 100
Cary, NC 27513-8446
Mailing address
PO Box 110566
Durham, NC 27709-5566
Phone (919) 620-4855
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017XM | Other | NC | BCBS GRP |
| 1029437093 | Other | TRICARE GRP |
Other names 1
- Duke Health Center of Cary
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652400000000",
"number": "1013940295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 110566",
"city": "DURHAM",
"state": "NC",
"postal_code": "277095566",
"telephone_number": "919-620-4855",
"fax_number": "919-620-4921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 NW CARY PKWY",
"address_2": "SUITE 100",
"city": "CARY",
"state": "NC",
"postal_code": "275138446",
"telephone_number": "919-684-8111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIVATE DIAGNOSTIC CLINIC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-09",
"last_updated": "2022-05-13",
"certification_date": "2022-05-13",
"status": "A",
"authorized_official_last_name": "DION",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "919-613-7762"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GRP",
"identifier": "017XM",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE GRP",
"identifier": "1029437093",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Duke Health Center of Cary",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Duke Health Center of Cary",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.