Private Diagnostic Clinic PLLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

PRIVATE DIAGNOSTIC CLINIC PLLC

Doing business as

Duke Orthopaedics Heritage

Practice address

3000 Rogers Rd
Wake Forest, NC 27587-3800

Phone

(919) 385-1080

NPI assigned

Sep 28, 2018

Last updated

Jul 11, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

PRIVATE DIAGNOSTIC CLINIC PLLCAs reported in NPPES

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

Authorized official

Name

Christopher Thomas Frederick

Title

Cfo

Phone

(919) 613-7762

Specialties & licenses 1

Addresses

Other names 1

• Duke Orthopaedics Heritage Doing business as

Part of

Richard J Alioto MD

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1811472582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110566",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277095566",
            "telephone_number": "919-620-4855",
            "fax_number": "919-620-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ROGERS RD",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873800",
            "telephone_number": "919-385-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE DIAGNOSTIC CLINIC PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIVATE DIAGNOSTIC CLINIC PLLC",
        "enumeration_date": "2018-09-28",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "919-613-7762"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Duke Orthopaedics Heritage",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Duke Orthopaedics Heritage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian Timothy Pressley, D.D.S
• Emilie Rose Price, DNP, FNP-BC
• Jason Price, OD
• Lisa Walser Pridgen, M.ED., CCC/SLP
• Zoe Prime, MS, CCC-SLP
• Process Behavioral Health, PLLC
• Morgan Proffitt
• Proficient Ambulette L.L.C.
• Progressive Outreach Solutions LLC
• Stacey Kathryn Prudich

• Orthopaedic Surgery Physician in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Orthopaedic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.