Organization Active NPI

Driftline Anesthesia Services

  • Anesthesiology Physician
  • Charlotte, NC
National Provider Identifier
1043128390
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
DRIFTLINE ANESTHESIA SERVICES
Practice address
4626 Bournewood LN
Charlotte, NC 28226-3260
Phone
(419) 206-8978
NPI assigned
Aug 28, 2026
Last updated
Aug 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Authorized official

Name
Mr. Richard Peiffer III, CRNA
Title
Ceo
Phone
(419) 206-8978

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

4626 Bournewood LN
Charlotte, NC 28226-3260

Mailing address

4626 Bournewood LN
Charlotte, NC 28226-3260
Phone (419) 206-8978

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1787875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1043128390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 BOURNEWOOD LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263260",
            "telephone_number": "419-206-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 BOURNEWOOD LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263260",
            "telephone_number": "419-206-8978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRIFTLINE ANESTHESIA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-28",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "PEIFFER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-206-8978",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "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 Aug 28, 2026; 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.