NPIMap

Organization Active NPI

Pediatric Housecall Services PLLC

  • Pediatrics Physician
  • Hickory, NC
National Provider Identifier
1093250904
Registry record updated Jan 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
200200214 Issued in NC
Legal business name
PEDIATRIC HOUSECALL SERVICES PLLC
Practice address
1899 Tate Blvd SE
Suite 2108
Hickory, NC 28602-4200
Phone
(828) 327-6500
Fax
(828) 327-4700
NPI assigned
Jan 1, 2017
Last updated
Jan 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2017

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

Authorized official

Name
Dr. David John Dumond, DPTNPI 1861576670
Title
Chief Operating Officer
Phone
(704) 607-3483

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
Pediatrics Physician 208000000X 200200214 NC Primary

Addresses

Primary practice location

1899 Tate Blvd SE
Suite 2108
Hickory, NC 28602-4200

Mailing address

6401 Stargaze LN
Charlotte, NC 28269-0802
Phone (704) 607-3483

Other identifiers 1

IdentifierTypeStateIssuer
89135HHMedicaidNC

National Provider Directory

National Provider Directory

Locations

11710 Plaza America Dr
Ste 200
Reston, VA 20190
Phone (703) 912-0792

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1483228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483228800000",
    "number": "1093250904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 STARGAZE LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690802",
            "telephone_number": "704-607-3483",
            "fax_number": "704-464-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1899 TATE BLVD SE",
            "address_2": "SUITE 2108",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024200",
            "telephone_number": "828-327-6500",
            "fax_number": "828-327-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC HOUSECALL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-01",
        "last_updated": "2017-01-01",
        "status": "A",
        "authorized_official_last_name": "DUMOND",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "704-607-3483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "200200214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89135HH",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2017; 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.