Organization Active NPI

Wake Heart and Vascular Associates P.a.

  • Specialist
  • Raleigh, NC
National Provider Identifier
1265430342
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
WAKE HEART AND VASCULAR ASSOCIATES P.A.
Practice address
3320 Wake Forest Rd
204
Raleigh, NC 27609-7300
Phone
(919) 790-5391
Fax
(919) 790-6823
NPI assigned
Jul 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Dee Darkes
Title
Administrator
Phone
(919) 420-1342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X NC Primary

Addresses

Primary practice location

3320 Wake Forest Rd
204
Raleigh, NC 27609-7300

Mailing address

3320 Wake Forest Rd
204
Raleigh, NC 27609-7300
Phone (919) 790-5391

Other identifiers 1

IdentifierTypeStateIssuer
89-016J2MedicaidNC

National Provider Directory

National Provider Directory

Locations

3320 Wake Forest Rd
Ste 204
Raleigh, NC 27609
Phone (919) 790-5391

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1265430342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 WAKE FOREST RD",
            "address_2": "204",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097300",
            "telephone_number": "919-790-5391",
            "fax_number": "919-790-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 WAKE FOREST RD",
            "address_2": "204",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097300",
            "telephone_number": "919-790-5391",
            "fax_number": "919-790-6823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE HEART AND VASCULAR ASSOCIATES P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DARKES",
        "authorized_official_first_name": "DEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-420-1342",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89-016J2",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.