Organization Active NPI

Amyradakis Mann and Associates, DDS PA

  • Dental Clinic/Center
  • Fuquay Varina, NC
National Provider Identifier
1871139923
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
AMYRADAKIS MANN AND ASSOCIATES, DDS PA
Practice address
280 Bramblehill Dr
Fuquay Varina, NC 27526-2377
Phone
(919) 552-1044
Fax
(919) 552-3790
NPI assigned
Nov 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Authorized official

Name
Elizabeth Russell
Title
Practice Administrator
Phone
(919) 342-4555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

280 Bramblehill Dr
Fuquay Varina, NC 27526-2377

Mailing address

280 Bramblehill Dr
Fuquay Varina, NC 27526-2377
Phone (919) 552-1044

National Provider Directory

National Provider Directory

Locations

280 Bramblehill Dr
Fuquay Varina, NC 27526
Phone (919) 552-1044

Practitioners & affiliated clinicians

Practitioners 2

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": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1871139923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 BRAMBLEHILL DR",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262377",
            "telephone_number": "919-552-1044",
            "fax_number": "919-552-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 BRAMBLEHILL DR",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262377",
            "telephone_number": "919-552-1044",
            "fax_number": "919-552-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMYRADAKIS MANN AND ASSOCIATES, DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "919-342-4555"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fuquay Varina, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.