Active NPI
Archana Ajith Nair, DMD
- General Practice Dentistry
- Fuquay Varina, NC
National Provider Identifier
1407412562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14014
- Practice address
- 1213 N Main St
Fuquay Varina, NC 27526-2616 - Phone
- (919) 552-9711
- Fax
- (919) 522-2157
- NPI assigned
- May 14, 2019
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14014 | NC | Primary |
Addresses
Primary practice location
1213 N Main St
Fuquay Varina, NC 27526-2616
Mailing address
1213 N Main St
Fuquay Varina, NC 27526-2616
Phone (919) 552-9711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191003001099 | MA | Order and Referring Only - Dentist | 7214268309 | |
| I20250117000302 | NC | Order and Referring Only - Dentist | 7214268309 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14014 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lane and Associates I DDS PA | General Practice | 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.
-
- General Practice Dentistry
- Fuquay Varina, NC
- NPI 1154336642
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731542400000",
"number": "1407412562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1213 N MAIN ST",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275262616",
"telephone_number": "919-552-9711",
"fax_number": "919-522-2157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1213 N MAIN ST",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275262616",
"telephone_number": "919-552-9711",
"fax_number": "919-522-2157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AJITH NAIR",
"first_name": "ARCHANA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-14",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "14014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fuquay Varina, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.