Organization Active NPI

Triangle Children's Gastroenterology Center,PLLC

  • Pediatric Gastroenterology Physician
  • Cary, NC
National Provider Identifier
1215164355
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
2007-00741 Issued in NC
Legal business name
TRIANGLE CHILDREN'S GASTROENTEROLOGY CENTER,PLLC
Practice address
103 Parkway Office CT
Suite 104
Cary, NC 27518-7428
Phone
(919) 677-8577
NPI assigned
Jun 16, 2009
Last updated
Dec 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Authorized official

Name
Dr. Leena Kandula, MD
Title
Pediatric Gastroenterologist
Phone
(919) 677-8577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X 2007-00741 NC Primary

Addresses

Primary practice location

103 Parkway Office CT
Suite 104
Cary, NC 27518-7428

Mailing address

103 Parkway Office CT
Suite 104
Cary, NC 27518-7428
Phone (919) 677-8577

National Provider Directory

National Provider Directory

Locations

103 Parkway Office Ct
Ste 104
Cary, NC 27518
Phone (919) 200-6587

NPI Registry JSON

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1215164355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PARKWAY OFFICE CT",
            "address_2": "SUITE 104",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187428",
            "telephone_number": "919-677-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PARKWAY OFFICE CT",
            "address_2": "SUITE 104",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187428",
            "telephone_number": "919-677-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIANGLE CHILDREN'S GASTROENTEROLOGY CENTER,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "KANDULA",
        "authorized_official_first_name": "LEENA",
        "authorized_official_title_or_position": "PEDIATRIC GASTROENTEROLOGIST",
        "authorized_official_telephone_number": "919-677-8577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "NC",
            "license": "2007-00741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 18, 2012; 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.