Individual provider Active NPI

Maura Helen Partrick, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Cary, NC
National Provider Identifier
1710196472
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
8375 Issued in NC
Practice address
2128 High House Rd
Suite 201
Cary, NC 27519
Phone
(919) 469-9609
NPI assigned
May 21, 2007
Last updated
Sep 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8375 NC
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 0401416319 VA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 8375 NC Primary

Addresses

Primary practice location

2128 High House Rd
Suite 201
Cary, NC 27519

Mailing address

2310 Myron Dr
Raleigh, NC 27607-0059
Phone (919) 469-9069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8375NCMDProfessional Counselor
0401416319VAMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1710196472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 MYRON DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276070059",
            "telephone_number": "919-469-9069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2128 HIGH HOUSE RD",
            "address_2": "SUITE 201",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27519",
            "telephone_number": "919-469-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARTRICK",
        "first_name": "MAURA",
        "middle_name": "HELEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "8375",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401416319",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "8375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.