Active NPI
Jennifer Alys Durand-Smith, M.D.
- Pediatrics Physician
- Cary, NC
National Provider Identifier
1043420607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2007-00453
- Practice address
- 1001 Crescent GRN
Cary, NC 27518-8101 - Phone
- (919) 467-3211
- Fax
- (919) 461-8179
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2007-00453 | NC | Primary |
Addresses
Primary practice location
1001 Crescent GRN
Cary, NC 27518-8101
Mailing address
1001 Crescent GRN
Cary, NC 27518-8101
Phone (919) 467-3211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5908323 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007-00453 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cary Pediatric Center PA | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Cary, NC
- NPI 1790817963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410825600000",
"number": "1043420607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 CRESCENT GRN",
"city": "CARY",
"state": "NC",
"postal_code": "275188101",
"telephone_number": "919-467-3211",
"fax_number": "919-461-8179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 CRESCENT GRN",
"city": "CARY",
"state": "NC",
"postal_code": "275188101",
"telephone_number": "919-467-3211",
"fax_number": "919-461-8179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURAND-SMITH",
"first_name": "JENNIFER",
"middle_name": "ALYS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2014-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2007-00453",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5908323",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}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 Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.