CAROLINA DEVELOPMENTAL PEDIATRICS PA NPI 1205206604

NPI Information

  • NPI: 1205206604
  • Provider Name: CAROLINA DEVELOPMENTAL PEDIATRICS PA
  • Classification: Pediatrics - 2080P0006X
  • Specialization: Developmental - Behavioral Pediatrics
  • Entity Type: Organization
  • Address: 1001 W WILLIAMS ST
    SUITE 104
    APEX, NC
    ZIP 27502
  • Phone: (919) 362-5406

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NPI Details

CAROLINA DEVELOPMENTAL PEDIATRICS PA is a developmental - behavioral pediatrics pediatrics in Apex, NC. The provider is a developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. CAROLINA DEVELOPMENTAL PEDIATRICS PA NPI is 1205206604. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1001 W WILLIAMS ST
SUITE 104
APEX, NC
ZIP 27502-978
Phone: (919) 362-5406
Fax: (919) 362-5409

The provider's authorized official is Daniel L Moran .
The authorized official title is Doctor and has the following contact phone number (919) 362-5406.

The enumeration date for this NPI number is 9/29/2015 and was last updated on 12/7/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0006XPediatricsDevelopmental - Behavioral Pediatrics200100579NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1891285HMEDICAIDNORTH CAROLINA
2F22730MEDICARE UPIN
31285HOTHERBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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