Organization Active NPI

Cary Family Practice and Walk-in Clinic, PC

  • Family Medicine Physician
  • Cary, NC
National Provider Identifier
1821061003
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CARY FAMILY PRACTICE AND WALK-IN CLINIC, PC
Practice address
301 Keisler Dr
Suite a
Cary, NC 27518-7018
Phone
(919) 858-8481
Fax
(919) 858-8426
NPI assigned
Feb 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Authorized official

Name
Dr. Shahnaz K Daud
Title
Secratary Owner
Phone
(919) 858-8481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X NC Primary

Addresses

Primary practice location

301 Keisler Dr
Suite a
Cary, NC 27518-7018

Mailing address

301 Keisler Dr
Suite a
Cary, NC 27518-7018
Phone (919) 858-8481

Other identifiers 2

IdentifierTypeStateIssuer
012PXOtherNCBCBS
89012PXMedicaidNC

National Provider Directory

National Provider Directory

Locations

301 Keisler Dr
Ste E
Cary, NC 27518
Phone (919) 714-2928

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1821061003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 KEISLER DR",
            "address_2": "SUITE A",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187018",
            "telephone_number": "919-858-8481",
            "fax_number": "919-858-8426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 KEISLER DR",
            "address_2": "SUITE A",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187018",
            "telephone_number": "919-858-8481",
            "fax_number": "919-858-8426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARY FAMILY PRACTICE AND WALK-IN CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "DAUD",
        "authorized_official_first_name": "SHAHNAZ",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SECRATARY OWNER",
        "authorized_official_telephone_number": "919-858-8481",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "012PX",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89012PX",
            "state": "NC"
        }
    ],
    "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 Jun 16, 2015; 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.