Organization Active NPI

Lucas J. Nazario-Correa, D.M.D., P.a.

  • General Practice Dentistry
  • Morrisville, NC
National Provider Identifier
1194041137
Registry record updated Apr 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8294 Issued in NC
Legal business name
LUCAS J. NAZARIO-CORREA, D.M.D., P.A.
Practice address
6406 McCrimmon Pkwy
Suite 220
Morrisville, NC 27560-8144
Phone
(919) 295-4694
NPI assigned
Apr 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2010

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

Authorized official

Name
Dr. Lucas J Nazario, DMD
Title
Presidenrt
Phone
(919) 295-4694

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8294 NC Primary

Addresses

Primary practice location

6406 McCrimmon Pkwy
Suite 220
Morrisville, NC 27560-8144

Mailing address

1006 Lyndhurst Falls LN
Knightdale, NC 27545-9716
Phone (919) 295-4694

Other names 1

  • Smile Forever Family Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271289600000",
    "number": "1194041137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 LYNDHURST FALLS LN",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275459716",
            "telephone_number": "919-295-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6406 MCCRIMMON PKWY",
            "address_2": "SUITE 220",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608144",
            "telephone_number": "919-295-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCAS J. NAZARIO-CORREA, D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-15",
        "last_updated": "2010-04-15",
        "status": "A",
        "authorized_official_last_name": "NAZARIO",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENRT",
        "authorized_official_telephone_number": "919-295-4694",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Forever Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morrisville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; 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.