Maynard Family Practice PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MAYNARD FAMILY PRACTICE PLLC

Practice address

103 Maynard Crossing CT
Cary, NC 27513-8723

Phone

(919) 523-6600

NPI assigned

Sep 15, 2022

Last updated

Feb 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mustapa Chakour

Title

Owner

Phone

(919) 523-6600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1548982556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MAYNARD CROSSING CT",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138723",
            "telephone_number": "919-523-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MAYNARD CROSSING CT",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138723",
            "telephone_number": "919-523-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYNARD FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-15",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "CHAKOUR",
        "authorized_official_first_name": "MUSTAPA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-523-6600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noemi Mariano Maydew, MD
• Diznei A Mayes
• Joseph Gregory Mayes, D.D.S
• Lisa Hauser Mayes, D.D.S
• Kaitlyn Mayfield, OT
• Deanna Maynard
• Linda Mayo, AGNP
• Ethan Mays
• Janae Mays
• Mayte Accornero, DMD, P.a.

• Family Medicine Physician in Cary, NC
• Providers in Cary, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.