Active NPI
Mauro Forgearini Nunes, DDS
- General Practice Dentistry
- Durham, NC
National Provider Identifier
1770065435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12475
- Practice address
- 3400 Croasdaile Dr Ste 209
Durham, NC 27705-6815 - Phone
- (919) 383-7020
- NPI assigned
- Aug 29, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0199 | NC | |
| General Practice Dentistry | 1223G0001X | 12475 | NC | Primary |
Addresses
Primary practice location
3400 Croasdaile Dr Ste 209
Durham, NC 27705-6815
Mailing address
3400 Croasdaile Dr Ste 209
Durham, NC 27705-6815
Phone (919) 383-7020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0199 | NC | MD | General Practice Dentistry |
| 12475 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mauro Nunes, DDS Ms, PLLC | General Practice | Current | Accepting new patients |
| Laura a Parra, DDS, PA | Past | Accepting new patients |
Locations
3400 Croasdaile Dr
Ste 209
Durham, NC 27705
Phone (919) 383-7020
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Durham, NC
- NPI 1659148146
-
- Dental Clinic/Center
- Durham, NC
- NPI 1245554427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1770065435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 CROASDAILE DR STE 209",
"city": "DURHAM",
"state": "NC",
"postal_code": "277056815",
"telephone_number": "919-383-7020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 CROASDAILE DR STE 209",
"city": "DURHAM",
"state": "NC",
"postal_code": "277056815",
"telephone_number": "919-383-7020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNES",
"first_name": "MAURO",
"middle_name": "FORGEARINI",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-29",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "0199",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "12475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.