NPIMap

Organization Active NPI

Cape Cod Pediatrics LLP

  • Specialist
  • Forestdale, MA
National Provider Identifier
1053423087
Registry record updated Mar 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CAPE COD PEDIATRICS LLP
Practice address
53 Route 130
Forestdale, MA 02644-1402
Phone
(508) 477-5306
Fax
(508) 477-0297
NPI assigned
Aug 31, 2006
Last updated
Mar 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2012

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

Authorized official

Name
Alexander C Heard, MDNPI 1316916471
Title
Partner
Phone
(508) 477-5306

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

53 Route 130
Forestdale, MA 02644-1402

Mailing address

PO Box 549
Forestdale, MA 02644-0549
Phone (508) 477-5306

Other identifiers 2

IdentifierTypeStateIssuer
9781854MedicaidMA
M17770OtherMABLUE CROSS BLUE SHIELD OF

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3552/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1053423087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 549",
            "city": "FORESTDALE",
            "state": "MA",
            "postal_code": "026440549",
            "telephone_number": "508-477-5306",
            "fax_number": "508-447-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 ROUTE 130",
            "city": "FORESTDALE",
            "state": "MA",
            "postal_code": "026441402",
            "telephone_number": "508-477-5306",
            "fax_number": "508-477-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE COD PEDIATRICS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "HEARD",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "508-477-5306",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9781854",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "M17770",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forestdale, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; 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.