Organization Active NPI

Apex Pediatric and Adolescent Clinic,P.a

Doing business as Care Pediatrics

  • Primary Care Clinic/Center
  • Cary, NC
National Provider Identifier
1083866370
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
2007-00317 Issued in NC
Legal business name
APEX PEDIATRIC AND ADOLESCENT CLINIC,P.A
Doing business as
Care Pediatrics
Practice address
400 Ashville Ave
Suite 100
Cary, NC 27518-6134
Phone
(919) 858-0600
Fax
(919) 858-0540
NPI assigned
Oct 17, 2008
Last updated
Oct 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2008

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

Authorized official

Name
Dr. Sarath B Dommaraju, M.DNPI 1922198753
Title
President
Phone
(919) 858-0600

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
Primary Care Clinic/Center 261QP2300X 2007-00317 NC Primary

Addresses

Primary practice location

400 Ashville Ave
Suite 100
Cary, NC 27518-6134

Mailing address

PO Box 310
Cary, NC 27512-0310
Phone (919) 858-0600

Other names 1

  • Care Pediatrics Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D1086191Care Pediatrics400 Ashville Ave Ste 100, Cary, NC 27518Certificate of waiverJul 7, 2028

National Provider Directory

National Provider Directory

Locations

400 Ashville Ave
Ste 100
Cary, NC 27518
Phone (919) 852-3999

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1083866370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275120310",
            "telephone_number": "919-858-0600",
            "fax_number": "919-858-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ASHVILLE AVE",
            "address_2": "SUITE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275186134",
            "telephone_number": "919-858-0600",
            "fax_number": "919-858-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX PEDIATRIC AND ADOLESCENT CLINIC,P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-17",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "DOMMARAJU",
        "authorized_official_first_name": "SARATH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "19198580600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "2007-00317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Pediatrics",
            "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 Oct 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.