247 Kid Doc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

2016-02169 Issued in NC

Legal business name

247 KID DOC

Practice address

3304 Stonesthrow Dr
Newton, NC 28658-8883

Phone

(844) 303-8006

NPI assigned

Oct 10, 2016

Last updated

Oct 10, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Bain Shannon

Title

President

Phone

(844) 303-8006

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1073063459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3304 STONESTHROW DR",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286588883",
            "telephone_number": "844-303-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3304 STONESTHROW DR",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286588883",
            "telephone_number": "844-303-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "247 KID DOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "BAIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "844-303-8006",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "2016-02169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Devonna Armstrong

• Primary Care Clinic/Center in Newton, NC
• Providers in Newton, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.