NPIMap

Organization Active NPI

Dogwood Pediatric Therapy, PLLC

  • Speech-Language Pathologist
  • Raleigh, NC
National Provider Identifier
1265807606
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8473 Issued in NC
Legal business name
DOGWOOD PEDIATRIC THERAPY, PLLC
Practice address
8360 Six Forks Rd Ste 101
Raleigh, NC 27615-5087
Phone
(919) 247-4551
Fax
(919) 882-9569
NPI assigned
Dec 10, 2015
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Lori HareNPI 1710291232
Title
Speech-Language Pathologist
Phone
(919) 247-4551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 8473 NC Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

8360 Six Forks Rd Ste 101
Raleigh, NC 27615-5087

Mailing address

6428 Cape Charles Dr
Raleigh, NC 27617-7641
Phone (919) 247-4551

Other practice location 1

6428 Cape Charles Dr
Raleigh, NC 27617-7641
Phone (919) 247-4551

National Provider Directory

National Provider Directory

Locations

8360 Six Forks Rd
Ste 101
Raleigh, NC 27615
Phone (919) 247-4551

8390 Six Forks Rd
Ste 104
Raleigh, NC 27615
Phone (860) 271-3344

Practitioners & affiliated clinicians

Practitioners 10

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": "1449705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1265807606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6428 CAPE CHARLES DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276177641",
            "telephone_number": "919-247-4551",
            "fax_number": "919-882-9569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8360 SIX FORKS RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276155087",
            "telephone_number": "919-247-4551",
            "fax_number": "919-882-9569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6428 Cape Charles Dr",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276177641",
            "country_code": "US",
            "telephone_number": "919-247-4551",
            "fax_number": "919-882-9569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOGWOOD PEDIATRIC THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-10",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "HARE",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "919-247-4551"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "8473",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.