Davidian, PLLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

DAVIDIAN, PLLC

Doing business as

Carolina Sleep Center
Carolina TMJ & Facial Pain Center

Practice address

5904 Six Forks Rd Ste 207
Raleigh, NC 27609-8228

Phone

(919) 301-8133

NPI assigned

Oct 11, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Tracy Davidian, DDS

Title

Owner

Phone

(919) 301-8133

Specialties & licenses 2

Addresses

Other names 2

• Carolina Sleep Center Doing business as
• Carolina TMJ & Facial Pain Center Doing business as

Locations

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539216000000",
    "number": "1720553191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5904 SIX FORKS RD STE 207",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276098228",
            "telephone_number": "919-301-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5904 SIX FORKS RD STE 207",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276098228",
            "telephone_number": "919-301-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIDIAN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-11",
        "last_updated": "2018-10-11",
        "status": "A",
        "authorized_official_last_name": "DAVIDIAN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-301-8133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Sleep Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carolina TMJ & Facial Pain Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edeliza Calub David, NP
• Lisa M. David, PA-C
• Davidian & Associates (Sedation Dental Care)
• Daniel K. Davidian, DDS
• Melissa Church Davidian, DDS
• Tracy L. Davidian, DDS
• Anna Davidow
• Hatima N Davidson, PHARMD
• Jason Howard Davidson, DC, CSCS
• Jessica Davidson, MPH, RD, LDN.

• Customized Equipment (DME) in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Customized Equipment (DME) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.