Organization Active NPI

Ahava Healthcare, PLLC

  • Adult Medicine Physician
  • Cary, NC
National Provider Identifier
1972188217
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
AHAVA HEALTHCARE, PLLC
Practice address
17001 Searstone Dr
Cary, NC 27513-8385
Phone
(919) 234-0318
Fax
(919) 234-0357
NPI assigned
Mar 17, 2021
Last updated
Mar 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Authorized official

Name
Dr. Melanie Mintzer, MD
Title
Ceo
Phone
(919) 667-4649

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

17001 Searstone Dr
Cary, NC 27513-8385

Mailing address

200 Oak Island Dr
Cary, NC 27513-2227
Phone (919) 667-4649

Other identifiers 1

IdentifierTypeStateIssuer
1578165346OtherNCSEARSTONE RETIREMENT COMMUNITY

National Provider Directory

National Provider Directory
Tax ID family
Cognitive Nutrient Therapy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1972188217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OAK ISLAND DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275132227",
            "telephone_number": "919-667-4649",
            "fax_number": "919-377-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17001 SEARSTONE DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138385",
            "telephone_number": "919-234-0318",
            "fax_number": "919-234-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHAVA HEALTHCARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2020-12-20",
        "status": "A",
        "authorized_official_last_name": "MINTZER",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-667-4649",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SEARSTONE RETIREMENT COMMUNITY",
            "identifier": "1578165346",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.