Individual provider Active NPI

Herit Dinesh Kathrotiya

  • Student Health Clinic/Center
  • Mooresville, NC
National Provider Identifier
1023809910
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Practice address
119 Kallie Loop
Mooresville, NC 28117-8070
Phone
(570) 704-7989
NPI assigned
May 13, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

119 Kallie Loop
Mooresville, NC 28117-8070

Mailing address

119 Kallie Loop
Mooresville, NC 28117-8070
Phone (570) 704-7989

Other practice location 1

1075 E Betteravia Rd Ste 201
Santa Maria, CA 93454-7023
Phone (805) 621-7651

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

Practice roles

OrganizationSpecialtyStatusNew patients
A.T. Still University - College for Healthy Communities PastSince Sep 14, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1023809910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 KALLIE LOOP",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178070",
            "telephone_number": "570-704-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 KALLIE LOOP",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178070",
            "telephone_number": "570-704-7989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1075 E Betteravia Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934547023",
            "country_code": "US",
            "telephone_number": "805-621-7651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATHROTIYA",
        "first_name": "HERIT",
        "middle_name": "DINESH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.