NPIMap

Organization Active NPI

Capital Neurology and Headache Center PA

  • Specialist
  • Cary, NC
National Provider Identifier
1063583920
Registry record updated Mar 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
9400759 Issued in NC
Legal business name
CAPITAL NEUROLOGY AND HEADACHE CENTER PA
Practice address
1219 Walnut St
Cary, NC 27511-4730
Phone
(919) 460-5405
Fax
(919) 460-5415
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2012

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

Authorized official

Name
Mr. David Harry Cook, MDNPI 1548369655
Title
President
Phone
(919) 460-5405

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 9400759 NC Primary

Addresses

Primary practice location

1219 Walnut St
Cary, NC 27511-4730

Mailing address

1219 Walnut St
Cary, NC 27511-4730
Phone (919) 460-5405

National Provider Directory

National Provider Directory

Locations

1219 Walnut St
Cary, NC 27511
Phone (919) 460-5405

1340 SE Maynard Rd
Ste 104
Cary, NC 27511
Phone (919) 460-5405

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": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1063583920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 WALNUT ST",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114730",
            "telephone_number": "919-460-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 WALNUT ST",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114730",
            "telephone_number": "919-460-5405",
            "fax_number": "919-460-5415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL NEUROLOGY AND HEADACHE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "HARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-460-5405",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "9400759",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 23, 2012; 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.