Organization Active NPI

Nazir Ahmad DDS IV, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Wake Forest, NC
National Provider Identifier
1760839757
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
8564 Issued in NC
Legal business name
NAZIR AHMAD DDS IV, PA
Practice address
3150 Rogers Rd Ste 111
Wake Forest, NC 27587-4196
Phone
(984) 833-5200
NPI assigned
May 19, 2016
Last updated
Jun 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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

Authorized official

Name
Dr. Nazir Ahmad, DDS
Title
Manager
Phone
(919) 283-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 8564 NC Primary

Addresses

Primary practice location

3150 Rogers Rd Ste 111
Wake Forest, NC 27587-4196

Mailing address

3150 Rogers Rd Ste 111
Wake Forest, NC 27587-4196
Phone (984) 833-5200

National Provider Directory

National Provider Directory

Locations

3150 Rogers Rd
Ste 111
Wake Forest, NC 27587
Phone (984) 833-5200

NPI Registry JSON

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1760839757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 ROGERS RD STE 111",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874196",
            "telephone_number": "984-833-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 ROGERS RD STE 111",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874196",
            "telephone_number": "984-833-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAZIR AHMAD DDS IV, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "NAZIR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "919-283-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "8564",
            "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 Jun 16, 2020; 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.