NPIMap

Organization Active NPI

Duke University Affiliated Physicians, Inc.

Doing business as DPC Healthy Lifestyles

  • Internal Medicine Physician
  • Durham, NC
National Provider Identifier
1649527714
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC.
Doing business as
DPC Healthy Lifestyles
Practice address
4020 Roxboro Rd
Durham, NC 27704
Phone
(919) 471-6930
NPI assigned
Aug 8, 2012
Last updated
Aug 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Jennifer Roberts
Title
Director Finance
Phone
(919) 684-0439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

4020 Roxboro Rd
Durham, NC 27704

Mailing address

PO Box 110566
Durham, NC 27709-5566
Phone (919) 620-4855

Other names 1

  • DPC Healthy Lifestyles Doing business as

National Provider Directory

National Provider Directory
Tax ID family
John M Aquino MD15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1649527714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110566",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277095566",
            "telephone_number": "919-620-4855",
            "fax_number": "919-620-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 ROXBORO RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27704",
            "telephone_number": "919-471-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-08",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR FINANCE",
        "authorized_official_telephone_number": "919-684-0439"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DPC Healthy Lifestyles",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DPC Healthy Lifestyles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.