Organization Active NPI

Mercedes Aybar-Diaz, DDS, PA

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1043309057
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7247 Issued in NC
Legal business name
MERCEDES AYBAR-DIAZ, DDS, PA
Practice address
6308 Falls of Neuse Rd
Suite 400
Raleigh, NC 27615-6807
Phone
(919) 431-9111
Fax
(919) 431-9155
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Oscar Diaz Jr.
Title
Business Administrator
Phone
(919) 431-9111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7247 NC Primary

Addresses

Primary practice location

6308 Falls of Neuse Rd
Suite 400
Raleigh, NC 27615-6807

Mailing address

6308 Falls of Neuse Rd
Suite 400
Raleigh, NC 27615-6807
Phone (919) 431-9111

Other identifiers 1

IdentifierTypeStateIssuer
90173OtherNCNC HEALTHCHOISE

National Provider Directory

National Provider Directory

Locations

6308 Falls of Neuse Rd
Ste 400
Raleigh, NC 27615
Phone (919) 431-9111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043309057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6308 FALLS OF NEUSE RD",
            "address_2": "SUITE 400",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156807",
            "telephone_number": "919-431-9111",
            "fax_number": "919-431-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6308 FALLS OF NEUSE RD",
            "address_2": "SUITE 400",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156807",
            "telephone_number": "919-431-9111",
            "fax_number": "919-431-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCEDES AYBAR-DIAZ, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "919-431-9111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC HEALTHCHOISE",
            "identifier": "90173",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.