NPIMap

Organization Active NPI

Wake Heart and Vascular Associates PA

  • Specialist
  • Knightdale, NC
National Provider Identifier
1487883278
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
WAKE HEART AND VASCULAR ASSOCIATES PA
Practice address
6905 Knightdale Blvd
103
Knightdale, NC 27545-6505
Phone
(919) 573-1220
Fax
(919) 573-1215
NPI assigned
Jul 14, 2009
Last updated
Jul 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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 Primary

Addresses

Primary practice location

6905 Knightdale Blvd
103
Knightdale, NC 27545-6505

Mailing address

6905 Knightdale Blvd
103
Knightdale, NC 27545-6505
Phone (919) 573-1220

National Provider Directory

National Provider Directory
Tax ID family
Wake Heart and Vascular Associates PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1487883278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6905 KNIGHTDALE BLVD",
            "address_2": "103",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456505",
            "telephone_number": "919-573-1220",
            "fax_number": "919-573-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6905 KNIGHTDALE BLVD",
            "address_2": "103",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456505",
            "telephone_number": "919-573-1220",
            "fax_number": "919-573-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE HEART AND VASCULAR ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knightdale, NC

Sources for this page

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