Active NPI
Mae Angeli Daniels, MD
- Pediatrics Physician
- Mount Airy, NC
National Provider Identifier
1922003607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 9500877
- Practice address
- 100 N Pointe Blvd
Mount Airy, NC 27030-2266 - Phone
- (336) 789-6267
- Fax
- (336) 786-4245
- NPI assigned
- Jun 17, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 9500877 | NC | Primary |
Addresses
Primary practice location
100 N Pointe Blvd
Mount Airy, NC 27030-2266
Mailing address
PO Box 1267
Mount Airy, NC 27030-1267
Phone (336) 786-4522
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8927028 | 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 |
|---|---|---|---|
| 9500877 | NC | MD | Pediatrics Physician |
Interoperability endpoints
- mdaniels@direct.nrh.nchie.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389312000000",
"number": "1922003607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1267",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270301267",
"telephone_number": "336-786-4522",
"fax_number": "336-789-3025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N POINTE BLVD",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270302266",
"telephone_number": "336-789-6267",
"fax_number": "336-786-4245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELS",
"first_name": "MAE",
"middle_name": "ANGELI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-17",
"last_updated": "2014-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "9500877",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8927028",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Airy, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.