NPIMap

Organization Active NPI

Kelly F. Viau, D.D.S., P.a.

Doing business as Peak City Family Dentistry

  • Dentist
  • Apex, NC
National Provider Identifier
1215364252
Registry record updated Oct 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8245 Issued in NC
Legal business name
KELLY F. VIAU, D.D.S., P.A.
Doing business as
Peak City Family Dentistry
Practice address
103 N Salem St
Apex, NC 27502-1427
Phone
(919) 362-8797
Fax
(919) 362-1476
NPI assigned
Oct 5, 2013
Last updated
Oct 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2013

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

Authorized official

Name
Dr. Kelly Frye Viau, D.D.S.NPI 1871580423
Title
President
Phone
(919) 362-8797

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 8245 NC Primary

Addresses

Primary practice location

103 N Salem St
Apex, NC 27502-1427

Mailing address

103 N Salem St
Apex, NC 27502-1427
Phone (919) 362-8797

Other names 1

  • Peak City Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

103 N Salem St
Apex, NC 27502
Phone (919) 362-8797

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1380931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380931200000",
    "number": "1215364252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N SALEM ST",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275021427",
            "telephone_number": "919-362-8797",
            "fax_number": "919-362-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N SALEM ST",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275021427",
            "telephone_number": "919-362-8797",
            "fax_number": "919-362-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY F. VIAU, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-05",
        "last_updated": "2013-10-05",
        "status": "A",
        "authorized_official_last_name": "VIAU",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "FRYE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-362-8797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "8245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak City Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2013; 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.