Carolina Developmental Pediatrics PA

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

License

200100579 Issued in NC

Legal business name

CAROLINA DEVELOPMENTAL PEDIATRICS PA

Practice address

1001 W Williams St
Suite 104
Apex, NC 27502-3978

Phone

(919) 362-5406

Fax

(919) 362-5409

NPI assigned

Sep 29, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Daniel L Moran, M.D.NPI 1407860224

Title

Doctor

Phone

(919) 362-5406

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel L Moran, MD

  • Developmental - Behavioral Pediatrics Physician
  • Apex, NC
  • NPI 1407860224
  NPD (past) Authorized official

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449446400000",
    "number": "1205206604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W WILLIAMS ST",
            "address_2": "SUITE 104",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275023978",
            "telephone_number": "919-362-5406",
            "fax_number": "919-362-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W WILLIAMS ST",
            "address_2": "SUITE 104",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275023978",
            "telephone_number": "919-362-5406",
            "fax_number": "919-362-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA DEVELOPMENTAL PEDIATRICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-12-07",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "919-362-5406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "NC",
            "license": "200100579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1285H",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891285H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caritas Catholic Counseling
• Jamie Fairbanks Carlisle, PHARM. D.
• Sara Scott Carlson, LCSW
• Kristen Westbrook Carman, M.ED CCC-SLP
• Carolina Behavioral Care, P.a.
• Carolina Eye Clinic Apex OD PLLC
• Carolina Mobility & Seating, Inc.
• Carolina Physical Therapy Associates LLC
• Carolina Speech Pathology, LLC
• Johnathon Lee Carpenter, OTR/L

• Developmental - Behavioral Pediatrics Physician in Apex, NC
• Providers in Apex, NC by specialty
• Developmental - Behavioral Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.