Sunshine Pediatric and Adolescent Care

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

4451727 Issued in NC

Legal business name

SUNSHINE PEDIATRIC AND ADOLESCENT CARE

Practice address

1631 Midtown PL Ste 107
Raleigh, NC 27609-1300

Phone

(919) 876-5656

Fax

(919) 876-1515

NPI assigned

Jul 26, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Albertina Denise Smith-Banks, M.D.

Title

Owner

Phone

(919) 876-5656

Specialties & licenses 1

Addresses

Tax ID family

Sunshine Pediatric and Adolescent Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sunshine Pediatrics & Adolescent Care, P.a.

  • Pediatrics Physician
  • Raleigh, NC
  • NPI 1366558025
  NPD tax ID

Locations

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

{
    "created_epoch": "1374796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374796800000",
    "number": "1740622166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 MIDTOWN PL STE 107",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276091300",
            "telephone_number": "919-876-5656",
            "fax_number": "919-876-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 MIDTOWN PL STE 107",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276091300",
            "telephone_number": "919-876-5656",
            "fax_number": "919-876-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE PEDIATRIC AND ADOLESCENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-26",
        "last_updated": "2013-07-26",
        "status": "A",
        "authorized_official_last_name": "SMITH-BANKS",
        "authorized_official_first_name": "ALBERTINA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-876-5656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NC",
            "license": "4451727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunray ABA LLC
• Sunrise Dental
• Sunrise Pediatric Associates PA
• Sunrize Care Transportation LLC
• Sunshine Advantage of NC LLC
• Sunshine Pediatrics & Adolescent Care, P.a.
• Sierra M. Sunshine, MS, CCC-SLP
• Sunstone Counseling, LLC
• Rachel Sunukjian, MS,LPC,CRC
• Superior Diagnostic Imaging Inc

• Pediatric Adolescent Medicine Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Pediatric Adolescent Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; 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.