NPIMap

Organization Active NPI

Catawba Pediatric Associates, P.a.

  • Pediatrics Physician
  • Hickory, NC
National Provider Identifier
1104804459
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
40543 Issued in NC
Legal business name
CATAWBA PEDIATRIC ASSOCIATES, P.A.
Practice address
240 18TH Street Cir SE
Hickory, NC 28602-1361
Phone
(828) 322-2550
Fax
(828) 322-7748
NPI assigned
Jan 6, 2006
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. Robert R Dixon, M.D.NPI 1053390880
Title
Managing Partner
Phone
(828) 322-2550

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 40543 NC Primary

Addresses

Primary practice location

240 18TH Street Cir SE
Hickory, NC 28602-1361

Mailing address

240 18TH Street Cir SE
Hickory, NC 28602-1361
Phone (828) 322-2550

Other identifiers 2

IdentifierTypeStateIssuer
01172OtherNCBCBS
8901172MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Catawba Pediatric Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

240 18th Street Cir SE
Hickory, NC 28602
Phone (828) 322-2550

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104804459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 18TH STREET CIR SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286021361",
            "telephone_number": "828-322-2550",
            "fax_number": "828-322-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 18TH STREET CIR SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286021361",
            "telephone_number": "828-322-2550",
            "fax_number": "828-322-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATAWBA PEDIATRIC ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "828-322-2550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "40543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01172",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901172",
            "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 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.