NPIMap

Organization Active NPI

Ahava Healthcare, PLLC

  • Adult Medicine Physician
  • Cary, NC
National Provider Identifier
1780262402
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
AHAVA HEALTHCARE, PLLC
Practice address
200 Oak Island Drive
Cary, NC 27513
Phone
(919) 667-4643
NPI assigned
Apr 1, 2021
Last updated
Apr 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Authorized official

Name
Melanie Mintzer, MD
Title
Ceo
Phone
(919) 667-4649

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Adult Medicine Physician 207QA0505X Primary

Addresses

Primary practice location

200 Oak Island Drive
Cary, NC 27513

Mailing address

200 Oak Island Drive
Cary, NC 27513
Phone (919) 667-4643

National Provider Directory

National Provider Directory
Tax ID family
Cognitive Nutrient Therapy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1780262402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OAK ISLAND DRIVE",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27513",
            "telephone_number": "919-667-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 OAK ISLAND DRIVE",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27513",
            "telephone_number": "919-667-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHAVA HEALTHCARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "MINTZER",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-667-4649",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.