Organization Active NPI

Starlight Pediatrics, PLLC

  • Pediatrics Physician
  • Holly Springs, NC
National Provider Identifier
1700205515
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2006-01271 Issued in NC
Legal business name
STARLIGHT PEDIATRICS, PLLC
Practice address
500 Holly Springs Rd
Suite 101
Holly Springs, NC 27540-6204
Phone
(919) 762-5113
Fax
(919) 762-5130
NPI assigned
Apr 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Authorized official

Name
Dr. Maria Castro, M.D.NPI 1972696698
Title
Member/Organizer
Phone
(919) 762-5113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 2006-01271 NC Primary

Addresses

Primary practice location

500 Holly Springs Rd
Suite 101
Holly Springs, NC 27540-6204

Mailing address

500 Holly Springs Rd
Suite 101
Holly Springs, NC 27540-6204
Phone (919) 762-5113

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2081654Starlight Pediatrics500 Holly Springs Road, Suite 101, Holly Springs, NC 27540Certificate of waiverJul 28, 2028

National Provider Directory

National Provider Directory

Locations

500 Holly Springs Rd
Ste 101
Holly Springs, NC 27540
Phone (919) 346-5911

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23054/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1700205515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 HOLLY SPRINGS RD",
            "address_2": "SUITE 101",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275406204",
            "telephone_number": "919-762-5113",
            "fax_number": "919-762-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HOLLY SPRINGS RD",
            "address_2": "SUITE 101",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275406204",
            "telephone_number": "919-762-5113",
            "fax_number": "919-762-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARLIGHT PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "MEMBER/ORGANIZER",
        "authorized_official_telephone_number": "919-762-5113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2006-01271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.