Individual provider Active NPI

Anna Liakh, DMD

  • Dentist
  • Cary, NC
National Provider Identifier
1730539651
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10043 Issued in NC
Practice address
8204 Tryon Woods Dr
Cary, NC 27518
Phone
(919) 756-7352
NPI assigned
Jun 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10043 NC Primary

Addresses

Primary practice location

8204 Tryon Woods Dr
Cary, NC 27518

Mailing address

132 Bikram Dr
Holly Springs, NC 27540-9667
Phone (828) 734-0018

Other practice location 1

1940 Entrepreneur Dr
Raleigh, NC 27606-5248
Phone (919) 515-8979

Other practice location 2

6320 Capital Blvd
Raleigh, NC 27616-2989
Phone (919) 981-7363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240418000783 NC Practitioner - Dentist 0143669531 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10043NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina University Current Accepting new patients
East Carolina University Dentist CurrentSince Mar 11, 2024 Accepting new patients
East Carolina University CurrentSince Mar 11, 2024 Accepting new patients

Locations

1851 Macgregor Downs Rd
Greenville, NC 27834
Phone (252) 737-7000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1730539651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 BIKRAM DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275409667",
            "telephone_number": "828-734-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8204 TRYON WOODS DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27518",
            "telephone_number": "919-756-7352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1940 Entrepreneur Dr",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276065248",
            "country_code": "US",
            "telephone_number": "919-515-8979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6320 Capital Blvd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276162989",
            "country_code": "US",
            "telephone_number": "919-981-7363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIAKH",
        "first_name": "ANNA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "10043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.