Piedmont Triad Regional Council

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PIEDMONT TRIAD REGIONAL COUNCIL

Practice address

1398 Carrollton Crossing Dr
Kernersville, NC 27284-3896

Phone

(336) 904-0300

Fax

(336) 904-0301

NPI assigned

Sep 21, 2016

Last updated

Dec 12, 2018By 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

Matthew Dolge

Title

Executive Director

Phone

(336) 904-0300

Specialties & licenses 3

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Piedmont Triad Regional Council

  • Community/Behavioral Health Agency
  • Yanceyville, NC
  • NPI 1124514633
  NPPES parent name

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544572800000",
    "number": "1215485024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1398 CARROLLTON CROSSING DR",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843896",
            "telephone_number": "336-904-0300",
            "fax_number": "336-904-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1398 CARROLLTON CROSSING DR",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843896",
            "telephone_number": "336-904-0300",
            "fax_number": "336-904-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT TRIAD REGIONAL COUNCIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-21",
        "last_updated": "2018-12-12",
        "status": "A",
        "authorized_official_last_name": "DOLGE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-904-0300"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emerald Grace Picarra, NP
• Piedmont Chiropractic Center, P.a.
• Piedmont Counseling Center
• Piedmont Gastroenterology Specialists
• Piedmont Triad Family Medicine, PA
• Piedmont Triad Regional Development Corporation
• Pierce Villa of Shuler Health Care, Inc.
• Pinnacle Parenting ABA LLC
• Gena Pintal
• Molly Pirozzolo

• Multi-Specialty Clinic/Center in Kernersville, NC
• Providers in Kernersville, NC by specialty
• Multi-Specialty Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; 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.