Organization Active NPI

Holistic Medical Consultants

  • Pediatrics Physician
  • Cornelius, NC
National Provider Identifier
1093835514
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35016 Issued in NC
Legal business name
HOLISTIC MEDICAL CONSULTANTS
Practice address
19607 W Catawba Ave
Cornelius, NC 28031-4002
Phone
(704) 892-3433
Fax
(704) 892-3691
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Danielle Malbasa Rose, MD
Title
Owner
Phone
(704) 892-3433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 35016 NC Primary

Addresses

Primary practice location

19607 W Catawba Ave
Cornelius, NC 28031-4002

Mailing address

19607 W Catawba Ave
Cornelius, NC 28031-4002
Phone (704) 892-3433

National Provider Directory

National Provider Directory

Locations

19607 W Catawba Ave
Cornelius, NC 28031
Phone (704) 892-3542

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093835514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19607 W CATAWBA AVE",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280314002",
            "telephone_number": "704-892-3433",
            "fax_number": "704-892-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19607 W CATAWBA AVE",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280314002",
            "telephone_number": "704-892-3433",
            "fax_number": "704-892-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC MEDICAL CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "MALBASA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-892-3433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "35016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.