Organization Active NPI

Javeria Nasir DDS

  • Mental Illness Community Based Residential Treatment Facility
  • Wake Forest, NC
National Provider Identifier
1710348198
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
10126 Issued in NC
Legal business name
JAVERIA NASIR DDS
Practice address
1241 Fanning Dr
Wake Forest, NC 27587-5088
Phone
(202) 361-6670
NPI assigned
Mar 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Authorized official

Name
Dr. Javeria Nasir, DDS
Title
Owner
Phone
(202) 361-6670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 10126 NC Primary

Addresses

Primary practice location

1241 Fanning Dr
Wake Forest, NC 27587-5088

Mailing address

1241 Fanning Drive
Wake Forest, NC 27587
Phone (202) 361-6670

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1710348198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 FANNING DRIVE",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "27587",
            "telephone_number": "202-361-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 FANNING DR",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875088",
            "telephone_number": "202-361-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVERIA NASIR DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "NASIR",
        "authorized_official_first_name": "JAVERIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-361-6670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "10126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.