Active NPI
Lucas J. Nazario Correa, D.M.D.
- General Practice Dentistry
- Knightdale, NC
National Provider Identifier
1114067154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8294
- Practice address
- 1001 Widewaters Pkwy
Knightdale, NC 27545-6102 - Phone
- (919) 266-6999
- NPI assigned
- Feb 7, 2007
- Last updated
- Feb 3, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8294 | NC | Primary |
Addresses
Primary practice location
1001 Widewaters Pkwy
Knightdale, NC 27545-6102
Mailing address
339 Rolling Meadows LN
Chapel Hill, NC 27517-9542
Phone (919) 400-7143
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8294 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706918400000",
"number": "1114067154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "339 ROLLING MEADOWS LN",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275179542",
"telephone_number": "919-400-7143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 WIDEWATERS PKWY",
"city": "KNIGHTDALE",
"state": "NC",
"postal_code": "275456102",
"telephone_number": "919-266-6999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAZARIO CORREA",
"first_name": "LUCAS",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2024-02-03",
"certification_date": "2024-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "8294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knightdale, NC
- Myeyedr Optometry of North Carolina, PLLC
- Myeyedr Optometry of North Carolina, PLLC (Myeyedr)
- Myscripts Pharmacy LLC
- Evita Nangmenyi, DR.
- National Vision Inc (America's Best Contacts & Eyeglasses)
- NC Doctors of Optometry PLLC
- NC Psychotherapy Services, PLLC
- NC Wellness & Recovery (NC Transit)
- NC Wellness & Recovery
- Liana Nelson-Peterson, MA, LPC, SATP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.