NPIMap

Organization Active NPI

Wake Forest University Health Sciences

  • Developmental Disabilities Clinic/Center
  • Winston Salem, NC
National Provider Identifier
1912082645
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
WAKE FOREST UNIVERSITY HEALTH SCIENCES
Practice address
2200 Cloverdale Ave Ste 341
Winston Salem, NC 27103-2300
Phone
(336) 774-2408
NPI assigned
Oct 25, 2006
Last updated
Nov 12, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
WAKE FOREST UNIVERSITY HEALTH SCIENCESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Authorized official

Name
David William Zaas, MD
Title
President
Phone
(336) 716-2661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

2200 Cloverdale Ave Ste 341
Winston Salem, NC 27103-2300

Mailing address

2200 Cloverdale Ave Ste 341
Winston Salem, NC 27103-2300
Phone (336) 774-2408

Other names 1

  • Amos Cottage - CDSA Other name

National Provider Directory

National Provider Directory
Tax ID family
Brenner Fit45 organizations share this tax ID, including this one
Part of
Brenner Fit

Other organizations with this tax ID 44

Organizations that report the same tax identification number in the National Provider Directory.

View all 44

Locations

2200 Cloverdale Ave
Ste 341
Winston Salem, NC 27103
Phone (336) 774-2408

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1912082645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 CLOVERDALE AVE STE 341",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032300",
            "telephone_number": "336-774-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 CLOVERDALE AVE STE 341",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032300",
            "telephone_number": "336-774-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE FOREST UNIVERSITY HEALTH SCIENCES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WAKE FOREST UNIVERSITY HEALTH SCIENCES",
        "enumeration_date": "2006-10-25",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "ZAAS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-716-2661",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amos Cottage - CDSA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.