Active NPI
Kim D. Dansie, MD
- Psychiatry Physician
- Sanford, NC
National Provider Identifier
1366463903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 37815
- Practice address
- 130 Carbonton Rd
Sanford, NC 27330-4009 - Phone
- (919) 774-6521
- Fax
- (919) 776-6179
- NPI assigned
- Jul 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 37815 | NC | Primary |
Addresses
Primary practice location
130 Carbonton Rd
Sanford, NC 27330-4009
Mailing address
PO Box 9
West End, NC 27376-0009
Phone (910) 673-9111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5901498 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodlake Psychological and Psychiatric Associates, PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Jamestown, NC
- NPI 1154375236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206403200000",
"number": "1366463903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9",
"city": "WEST END",
"state": "NC",
"postal_code": "273760009",
"telephone_number": "910-673-9111",
"fax_number": "910-673-6202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 CARBONTON RD",
"city": "SANFORD",
"state": "NC",
"postal_code": "273304009",
"telephone_number": "919-774-6521",
"fax_number": "919-776-6179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANSIE",
"first_name": "KIM",
"middle_name": "D.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2008-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "37815",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5901498",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sanford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.