Organization Active NPI

Doctors Plus PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Concord, NC
National Provider Identifier
1174868368
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
2007-00071 Issued in NC
Legal business name
DOCTORS PLUS PLLC
Practice address
205 Branchview Dr NE
Concord, NC 28025-3416
Phone
(704) 440-4689
Fax
(704) 956-2193
NPI assigned
Nov 29, 2012
Last updated
Nov 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Authorized official

Name
Dr. Dennis Seetal Persaud, M.D.
Title
Owner
Phone
(704) 440-4689

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 2007-00071 NC Primary
Family Medicine Physician 207Q00000X 2007-00071 NC
Clinic Pharmacy 3336C0002X NU

Addresses

Primary practice location

205 Branchview Dr NE
Concord, NC 28025-3416

Mailing address

205 Branchview Dr NE
Concord, NC 28025-3416
Phone (704) 440-4689

Other identifiers 2

IdentifierTypeStateIssuer
1780679118OtherNCNPI
010069777MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140103000142 NC Part B Supplier - Clinic/Group Practice 9234367913 Receives reassigned benefits from 3 practitioners
Practice locations: Concord, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1174868368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 BRANCHVIEW DR NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280253416",
            "telephone_number": "704-440-4689",
            "fax_number": "704-956-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 BRANCHVIEW DR NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280253416",
            "telephone_number": "704-440-4689",
            "fax_number": "704-956-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS PLUS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "PERSAUD",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "SEETAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-440-4689",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NC",
            "license": "2007-00071",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2007-00071",
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1780679118",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010069777",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.