North Durham Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

8083 Issued in NC

Legal business name

NORTH DURHAM ORTHODONTICS

Practice address

4301 Ben Franklin Blvd
Suite 201
Durham, NC 27704-2145

Phone

(919) 797-2300

Fax

(919) 797-2301

NPI assigned

Nov 12, 2014

Organization subpart

No

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

Authorized official

Name

Rizanne Icasiano

Title

Office Manager

Phone

(919) 544-9700

Specialties & licenses 1

Addresses

Other names 1

• Gina Lee, DDS, MDS, PA II Other name

Locations

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1851797237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 BEN FRANKLIN BLVD",
            "address_2": "SUITE 201",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042145",
            "telephone_number": "919-797-2300",
            "fax_number": "919-797-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 BEN FRANKLIN BLVD",
            "address_2": "SUITE 201",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042145",
            "telephone_number": "919-797-2300",
            "fax_number": "919-797-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH DURHAM ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-12",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "ICASIANO",
        "authorized_official_first_name": "RIZANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "919-544-9700"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "8083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gina Lee, DDS, MDS, PA II",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• North Carolina Specialty Hospital LLC
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• North Carolina Specialty Hospital Pharmacy Dept.
• North Carolina Therapy Professionals, PLLC
• North Durham Women'S Health
• North to South Services Inc
• North to South Services Inc.
• Kathryn North, LPA
• Northcore Management Group LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Durham, NC
• Providers in Durham, NC by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.