PRIVATE DIAGNOSTIC CLINIC PLLC (NPI# 1831416593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831416593 |
| Entity Type | Organization |
| Organization Name | PRIVATE DIAGNOSTIC CLINIC PLLC |
| Practice Address |
2711 N Duke St Suite A Durham NC 27704-2619 |
| Mailing Address |
5213 S Alston Ave Durham NC 27713-4430 |
| Practice Telephone | 9192201416 |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2010-04-27 |
| Authorized Official Name | JOHN PAUL DION (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 9196137762 |
| Is Organization Subpart | Y |
| Parent Organization Name | DUKE PEDIATRIC DENTISTRY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528543295 | Private Diagnostic Clinic Pllc | Orthopaedic Surgery | 1545 Orchard Villas Ave, Apex, NC 27502-4321 | 2018-09-28 |
| 1811472582 | Private Diagnostic Clinic Pllc | Orthopaedic Surgery | 3000 Rogers Rd, Wake Forest, NC 27587-3800 | 2018-09-28 |
| 1245715986 | Private Diagnostic Clinic Pllc | Orthopaedic Surgery | 162 Legacy Oaks Dr, Knightdale, NC 27545-6556 | 2018-09-28 |
| 1336416460 | Private Diagnostic Clinic Pllc | Anesthesiology | 20 Duke Medicine Circle, Durham, NC 27710-2000 | 2011-11-17 |
| 1730267089 | Private Diagnostic Clinic Pllc | Physical Therapist | 1005 Slater Rd, Oxford Place Suite 120, Durham, NC 27703-8448 | 2006-11-02 |
| Street Address |
2711 N DUKE ST SUITE A |
| City | DURHAM |
| State | NC |
| Zip Code | 27704-2619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104861822 | Grant H Service | Dentist | 2711 N Duke St, Suite B, Durham, NC 27704-2619 | 2006-06-17 |
| 1720465354 | Martha Ann Keels Dds, Phd, Pa | Dentist | 2711 N Duke St, Durham, NC 27704-2619 | 2015-05-04 |
| 1942430939 | Kerry Anzenberger Dove | Dentist | 2711 N Duke St, Suite A, Durham, NC 27704-2619 | 2009-07-23 |
| 1194997122 | Grant H Service Dds Pa | Dentist | 2711 N Duke St, Suite B, Durham, NC 27704-2619 | 2008-03-31 |
| 1326210501 | Harold S. Speight, D.d.s. P.a. | Dentist | 2711 N Duke St, Suite C, Durham, NC 27704-2619 | 2008-03-28 |
| 1891714952 | Harold S Speight | Dentist | 2711 N Duke St, Suite C, Durham, NC 27704-2619 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245723139 | Devang Ashokbhai Patel | Dentist | 2609 N Duke St Ste 618, Durham, NC 27704 | 2018-06-14 |
| 1891201042 | Little Family Care Home, LLC | Custodial Care Facility | 1012 Davinci Street, Durham, NC 27704 | 2017-12-26 |
| 1033625702 | Tondra A Little | Social Worker | 2804 Nellowood Street, Durham, NC 27704 | 2017-12-18 |
| 1437502408 | Jhazmere Shamas Preston | Counselor | 2609 N. Duke St. Suite 403, Durham, NC 27704 | 2016-07-14 |
| 1649626656 | Professional Elevations Pllc | Case Manager/Care Coordinator | 304 Crutchfield Drive, Durham, NC 27704 | 2016-05-09 |
| 1083071617 | Alyssa Wilson | Speech-Language Pathologist | 215 William Penn Plz Apt 908, Durham, NC 27704 | 2016-01-27 |
| 1932565124 | Arthur Reynolds Jr and Associates P.l.l.c. | Dentist | 2106 N Duke St, Durham, NC 27704 | 2016-01-05 |
| 1962877720 | Chimere Brooks | Contractor | 4001meriwether Drive Apt P-19, Durham, NC 27704 | 2015-12-04 |
| 1184013294 | Danielle King | Physician Assistant | 3611 N Duke Street, Durham, NC 27704 | 2015-01-13 |
| 1730581901 | Images, 'of Me To You' | Community/Behavioral Health | 2823 Cascadilla Street, Durham, NC 27704 | 2014-09-19 |
| Find all providers in zip 27704 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972924330 | Zhengyan Wang Dds Pa | Dentist | 5318 Nc Highway 55 Ste 202, Durham, NC 27713-9660 | 2014-01-02 |
| 1801036801 | Perry L. Jeffries Dds, Pa | Dentist | 1208 Riddle Rd Ste B, Durham, NC 27713-1365 | 2009-03-03 |
| 1255417846 | John Robert Christensen | Dentist | 121 W Woodcroft Pkwy, Durham, NC 27713-9471 | 2006-10-27 |
| 1427066349 | Gary Prevost Hill | Dentist | 3115 Academy Road, Durham, NC 27707 | 2006-08-04 |
| 1316322233 | Martha Mangum Holland | Dentist | 249 E Nc Highway 54, Durham, NC 27713-7512 | 2015-07-21 |
| 1902289648 | Sindhura Citineni, Dds, Pa | Dentist | 3115 Academy Rd, Suite B, Durham, NC 27707-2652 | 2015-06-30 |
| 1720465354 | Martha Ann Keels Dds, Phd, Pa | Dentist | 2711 N Duke St, Durham, NC 27704-2619 | 2015-05-04 |
| 1548553589 | Amy C. Davidian, Dds, Pa | Dentist | 249 E Nc Highway 54, Suite 300, Durham, NC 27713-7512 | 2011-05-24 |
| 1902069685 | Jina Kang Yoo | Dentist | 249 E Nc Highway 54, Suite 300, Durham, NC 27713-7512 | 2008-07-03 |
| 1255546420 | John R Christensen Dds Ms Ms Pa | Dentist | 121 W Woodcroft Pkwy, Durham, NC 27713-9471 | 2007-05-11 |
| Find all providers in DURHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.