Daniels and Peck Family Medicine, PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

000027364 Issued in NC

Legal business name

DANIELS AND PECK FAMILY MEDICINE, PA

Practice address

809 Spring Forest Rd
Suite 100
Raleigh, NC 27609-9700

Phone

(919) 790-7070

NPI assigned

May 14, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Patsy Daniels, MD

Title

President

Phone

(919) 790-7070

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242259200000",
    "number": "1366676629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 SPRING FOREST RD",
            "address_2": "SUITE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276099700",
            "telephone_number": "919-790-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 SPRING FOREST RD",
            "address_2": "SUITE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276099700",
            "telephone_number": "919-790-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIELS AND PECK FAMILY MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-14",
        "last_updated": "2009-05-14",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "PATSY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-790-7070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "000027364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1255394409",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas A Daniel, PTA
• Stephen Matthew Daniel, PHARMD
• Walter Eugene Daniel III, MD
• Daniel'S Den, LLC
• Danielle Hood
• Candice Daniels
• Caroline Daniels
• Dawn Daniels
• Haley Laura Daniels
• Jasmin C. Daniels, M.D.

• Clinic/Center in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; 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.