Organization Active NPI

Amazing Kids of NC, Inc.

  • Community/Behavioral Health Agency
  • Wake Forest, NC
National Provider Identifier
1154623338
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
AMAZING KIDS OF NC, INC.
Practice address
834 Saint Catherines Dr
Wake Forest, NC 27587-6639
Phone
(252) 767-7561
Fax
(919) 554-9670
NPI assigned
Nov 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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

Authorized official

Name
Tina Mae Dunbar
Title
Owner / Manager
Phone
(252) 767-7561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

834 Saint Catherines Dr
Wake Forest, NC 27587-6639

Mailing address

834 Saint Catherines Dr
Wake Forest, NC 27587-6639
Phone (252) 767-7561

Other identifiers 1

IdentifierTypeStateIssuer
8303124MedicaidNC

National Provider Directory

National Provider Directory

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": "1290384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311120000000",
    "number": "1154623338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 SAINT CATHERINES DR",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876639",
            "telephone_number": "252-767-7561",
            "fax_number": "919-554-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 SAINT CATHERINES DR",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876639",
            "telephone_number": "252-767-7561",
            "fax_number": "919-554-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING KIDS OF NC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-22",
        "last_updated": "2011-07-20",
        "status": "A",
        "authorized_official_last_name": "DUNBAR",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "OWNER / MANAGER",
        "authorized_official_telephone_number": "252-767-7561"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303124",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; 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.