Organization Active NPI

Dream Works 2 Clinic

  • Community/Behavioral Health Agency
  • Raleigh, NC
National Provider Identifier
1861776478
Registry record updated Sep 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DREAM WORKS 2 CLINIC
Practice address
211 E Six Forks Rd
Suite 122
Raleigh, NC 27609-7745
Phone
(919) 539-4212
NPI assigned
Sep 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2011

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

Authorized official

Name
Tonya Simmons
Title
Management
Phone
(919) 539-4212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

211 E Six Forks Rd
Suite 122
Raleigh, NC 27609-7745

Mailing address

211 E Six Forks Rd
Suite 122
Raleigh, NC 27609-7745
Phone (919) 539-4212

National Provider Directory

National Provider Directory

Locations

211 E Six Forks Rd
Ste 122
Raleigh, NC 27609
Phone (919) 773-7165

NPI Registry JSON

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

{
    "created_epoch": "1317340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317340800000",
    "number": "1861776478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E SIX FORKS RD",
            "address_2": "SUITE 122",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097745",
            "telephone_number": "919-539-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E SIX FORKS RD",
            "address_2": "SUITE 122",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097745",
            "telephone_number": "919-539-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM WORKS 2 CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-30",
        "last_updated": "2011-09-30",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "919-539-4212"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; 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.