Individual provider Active NPI

Cassandra Lane Dielwart, M.D

  • General Acute Care Hospital
  • Charlotte, NC
National Provider Identifier
1023422656
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
2014-01045 Issued in NC
Practice address
1320 Scott Ave
Department of Orthopaedic Surgery- Trauma
Charlotte, NC 28204-2918
Phone
(704) 355-6046
NPI assigned
Jun 11, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 2014-01045 NC Primary

Addresses

Primary practice location

1320 Scott Ave
Department of Orthopaedic Surgery- Trauma
Charlotte, NC 28204-2918

Mailing address

3114 Turner Street
Vancouver, BC V5K2H1
CA
Phone (778) 960-9765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2014-01045NCMDGeneral Acute Care Hospital

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1023422656",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "3114 TURNER STREET",
            "city": "VANCOUVER",
            "state": "BC",
            "postal_code": "V5K2H1",
            "telephone_number": "778-960-9765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 SCOTT AVE",
            "address_2": "DEPARTMENT OF ORTHOPAEDIC SURGERY- TRAUMA",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042918",
            "telephone_number": "704-355-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIELWART",
        "first_name": "CASSANDRA",
        "middle_name": "LANE",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NC",
            "license": "2014-01045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.