Daniel Pegram, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86074561

Practice address

10400 Mallard Creek Rd Ste 340
Charlotte, NC 28262-5203

Phone

(704) 549-9550

NPI assigned

Jan 11, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Total Nutrition Technology, Inc.

  • Registered Dietitian
  • Charlotte, NC
  • NPI 1467599001

  Dietitian, Registered

  NPD

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

{
    "created_epoch": "1578700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578700800000",
    "number": "1154961779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3412 VALLEY RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271062529",
            "telephone_number": "405-648-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 MALLARD CREEK RD STE 340",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282625203",
            "telephone_number": "704-549-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEGRAM",
        "first_name": "DANIEL",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-11",
        "last_updated": "2020-01-11",
        "certification_date": "2020-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86074561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Carter Peery
• Walton S Peery, DDS
• Sakiyna Mozell Peets
• Derrick Samuel Pegg, LCSW
• Erica E. Pegg, CNM
• Chevon Pegues, APRN, FNP-C
• Louis Peifer
• Erica Peiffer, CNP
• Carrie Ann Peisker
• Laura Kemp Pekman, MD

• Registered Dietitian in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.