David M Fajgenbaum MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

24065 Issued in NC

Legal business name

DAVID M FAJGENBAUM MD PA

Practice address

3410 Executive Dr
Suite #103
Raleigh, NC 27609-7457

Phone

(919) 872-5296

Fax

(919) 850-9718

NPI assigned

Feb 22, 2008

Last updated

Nov 8, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David M Fajgenbaum, M.D.NPI 1376513630

Title

Physician

Phone

(919) 872-5296

Specialties & licenses 1

Addresses

Practitioners 1

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.

• David M Fajgenbaum, M.D.

  • Orthopaedic Surgery Physician
  • Raleigh, NC
  • NPI 1376513630
  Authorized official Same address or phone

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1942479050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 EXECUTIVE DR",
            "address_2": "SUITE #103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097457",
            "telephone_number": "919-872-5296",
            "fax_number": "919-850-9718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 EXECUTIVE DR",
            "address_2": "SUITE #103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097457",
            "telephone_number": "919-872-5296",
            "fax_number": "919-850-9718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M FAJGENBAUM MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "FAJGENBAUM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "919-872-5296",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "24065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Edward Davey, RPH
• David C. Slawisnki DDS, PA (Midtown Pediatric Dentistry)
• David D. Olson, DDS, Ms, PA (Raleigh Pediatric Dentistry)
• David F Colvard, MD, PA
• David G. Polhemus DDS, PLLC
• David Turner Jones MD PA
• Cameron David
• Edeliza Calub David, NP
• Lisa M. David, PA-C
• Davidian & Associates (Sedation Dental Care)

• Specialist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; 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.