Organization Active NPI

Building Blocks Pediatrics PLLC

  • Pediatrics Physician
  • Morrisville, NC
National Provider Identifier
1124469903
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
200100109 Issued in NY
Legal business name
BUILDING BLOCKS PEDIATRICS PLLC
Practice address
3603 Davis Dr
Building C-201
Morrisville, NC 27560-6008
Phone
(919) 234-1582
Fax
(919) 234-1586
NPI assigned
Jul 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2014

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

Authorized official

Name
Dr. Kristi Woods Edwards, M.D.
Title
Co-Owner/Manager
Phone
(919) 234-1582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 200100109 NY Primary

Addresses

Primary practice location

3603 Davis Dr
Building C-201
Morrisville, NC 27560-6008

Mailing address

3603 Davis Dr
Building C-201
Morrisville, NC 27560-6008
Phone (919) 234-1582

Other identifiers 1

IdentifierTypeStateIssuer
1124469903MedicaidNC

National Provider Directory

National Provider Directory

Locations

3603 Davis Dr
Bldg C201
Morrisville, NC 27560
Phone (919) 234-1582

NPI Registry JSON

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1124469903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3603 DAVIS DR",
            "address_2": "BUILDING C-201",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275606008",
            "telephone_number": "919-234-1582",
            "fax_number": "919-234-1586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3603 DAVIS DR",
            "address_2": "BUILDING C-201",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275606008",
            "telephone_number": "919-234-1582",
            "fax_number": "919-234-1586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUILDING BLOCKS PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-09",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "WOODS",
        "authorized_official_title_or_position": "CO-OWNER/MANAGER",
        "authorized_official_telephone_number": "919-234-1582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "200100109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124469903",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; 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.