Rockingham Childrens Clinic

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

17478 Issued in NC

Legal business name

ROCKINGHAM CHILDRENS CLINIC

Practice address

705 S Van Buren Rd
Eden, NC 27288-5321

Phone

(336) 627-1141

Fax

(336) 627-1163

NPI assigned

Jan 31, 2008

Last updated

Jan 31, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shelton Phelphs Dawson, MD

Title

Owner

Phone

(336) 627-1141

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1205013331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 S VAN BUREN RD",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885321",
            "telephone_number": "336-627-1141",
            "fax_number": "336-627-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S VAN BUREN RD",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885321",
            "telephone_number": "336-627-1141",
            "fax_number": "336-627-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKINGHAM CHILDRENS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "SHELTON",
        "authorized_official_middle_name": "PHELPHS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-627-1141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "17478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902560",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6758860",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce Coral Richardson, OTR/L
• Caitlin Swayze Rierson, PA-C
• Gary Nicholas Rizza, MED, BS.
• Megan Robertson
• Jason P Rochester
• Rockingham County Healthcare Alliance (James Austin Health Center)
• Rockingham County Schools
• Rockingham Eye Associates PA
• Rockingham Imaging PA
• Rockingham Internal Medicine Associates PA

• Pediatrics Physician in Eden, NC
• Providers in Eden, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.