Active NPI
Zhao Min, M.D.
- Sleep Medicine (Family Medicine) Physician
- Cary, NC
National Provider Identifier
1821282948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Family Medicine) Physician
- License
- 2008-00550
- Practice address
- 204 Davis Grove Circle
Ste 107
Cary, NC 27519 - Phone
- (919) 363-3427
- Fax
- (919) 363-3437
- NPI assigned
- Aug 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 245660 | NY | |
| Sleep Medicine (Family Medicine) Physician | 207QS1201X | 2008-00550 | NC | Primary |
Addresses
Primary practice location
204 Davis Grove Circle
Ste 107
Cary, NC 27519
Mailing address
204 Davis Grove Circle
Ste 107
Caru, NC 27519
Phone (919) 363-3427
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5910793 | Medicaid | NC |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008-00550 | NC | MD | Sleep Medicine (Family Medicine) Physician |
| 245660 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Davis Grove Pediatrics PLLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Cary, NC
- NPI 1457718835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352851200000",
"number": "1821282948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 DAVIS GROVE CIRCLE",
"address_2": "STE 107",
"city": "CARU",
"state": "NC",
"postal_code": "27519",
"telephone_number": "919-363-3427",
"fax_number": "919-363-3437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 DAVIS GROVE CIRCLE",
"address_2": "STE 107",
"city": "CARY",
"state": "NC",
"postal_code": "27519",
"telephone_number": "919-363-3427",
"fax_number": "919-363-3437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIN",
"first_name": "ZHAO",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-31",
"last_updated": "2012-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "245660",
"primary": false
},
{
"code": "207QS1201X",
"taxonomy_group": "",
"desc": "Family Medicine, Sleep Medicine",
"state": "NC",
"license": "2008-00550",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5910793",
"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 Nov 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.