NPIMap

Organization Active NPI

Joseph D Pesicek DDS PA

Doing business as cary implant dentistry

  • Dental Clinic/Center
  • Cary, NC
National Provider Identifier
1316445729
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
7647 Issued in NC
Legal business name
JOSEPH D PESICEK DDS PA
Doing business as
cary implant dentistry
Practice address
100 Ridge View Dr Ste 101
Cary, NC 27511-5589
Phone
(919) 481-0330
Fax
(919) 481-1565
NPI assigned
Jan 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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

Authorized official

Name
Dr. Joseph D Pesicek, DDS
Title
President
Phone
(919) 481-0330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 7647 NC Primary

Addresses

Primary practice location

100 Ridge View Dr Ste 101
Cary, NC 27511-5589

Mailing address

100 Ridge View Dr Ste 101
Cary, NC 27511-5589
Phone (919) 481-0330

Other names 1

  • cary implant dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

100 Ridge View Dr
Ste 101
Cary, NC 27511
Phone (919) 481-0330

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517356800000",
    "number": "1316445729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RIDGE VIEW DR STE 101",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115589",
            "telephone_number": "919-481-0330",
            "fax_number": "919-481-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RIDGE VIEW DR STE 101",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115589",
            "telephone_number": "919-481-0330",
            "fax_number": "919-481-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH D PESICEK DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-01-31",
        "status": "A",
        "authorized_official_last_name": "PESICEK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-481-0330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "7647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "cary implant dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 31, 2018; 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.