Cape Fear Aesthetics PLLC

Primary specialty

Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianTaxonomy code 2082S0099X

Legal business name

CAPE FEAR AESTHETICS PLLC

Practice address

2053 Valleygate Dr
Ste. 102
Fayetteville, NC 28304-3688

Phone

(910) 323-3757

Fax

(910) 323-9247

NPI assigned

Jun 20, 2007

Organization subpart

No

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

Authorized official

Name

Edward Ernest Dickerson IV, MD

Title

Owner

Phone

(910) 323-3757

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan Ray Hall, CRNA

  • Certified Registered Nurse Anesthetist
  • Fayetteville, NC
  • NPI 1083173769

  Single Specialty

  NPD

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1811192552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2814",
            "city": "BRYSON CITY",
            "state": "NC",
            "postal_code": "287132814",
            "telephone_number": "910-239-7600",
            "fax_number": "828-538-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2053 VALLEYGATE DR",
            "address_2": "STE. 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043688",
            "telephone_number": "910-323-3757",
            "fax_number": "910-323-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE FEAR AESTHETICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "ERNEST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-323-3757",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2082S0099X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lei Cao, DDS, PHD
• Cape Center Internal Medicine, PA
• Cape Center Medicine PLLC
• Cape Center Obstetrics & Gynecology
• Cape Center Pediatrics P.a.
• Cape Fear Behavioral Health Center LLC
• Cape Fear Cardiology Associates PA
• Cape Fear Cardiovascular & Thoracic Surgery PA
• Cape Fear Counseling & Associates
• Cape Fear Discount Drug - Ramsey, LLC

• Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.