Organization Active NPI

Anti-Aging & Aesthetic Medical Center

  • Specialist
  • Apex, NC
National Provider Identifier
1962759308
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
96-00789 Issued in NC
Legal business name
ANTI-AGING & AESTHETIC MEDICAL CENTER
Practice address
410 E Williams St
Apex, NC 27502-2149
Phone
(919) 362-5910
Fax
(919) 362-0071
NPI assigned
Aug 3, 2012
Last updated
Aug 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

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

Authorized official

Name
Dr. Arthur David Zacco, D.O.NPI 1588695753
Title
President
Phone
(919) 362-5910

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 96-00789 NC Primary
Transplant Surgery Physician 204F00000X 96-00789 NC

Addresses

Primary practice location

410 E Williams St
Apex, NC 27502-2149

Mailing address

410 E Williams St
Apex, NC 27502-2149
Phone (919) 362-5910

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1962759308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E WILLIAMS ST",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275022149",
            "telephone_number": "919-362-5910",
            "fax_number": "919-362-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E WILLIAMS ST",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275022149",
            "telephone_number": "919-362-5910",
            "fax_number": "919-362-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTI-AGING & AESTHETIC MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "ZACCO",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-362-5910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "96-00789",
            "primary": true
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "NC",
            "license": "96-00789",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.