NPIMap

Organization Active NPI

The Childhealth Center, PA

  • Pediatrics Physician
  • Hickory, NC
National Provider Identifier
1295729747
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
69097 Issued in NC
Legal business name
THE CHILDHEALTH CENTER, PA
Practice address
1455 25TH Ave Dr NE
Hickory, NC 28601
Phone
(828) 322-4453
Fax
(828) 324-9295
NPI assigned
Sep 9, 2005
Last updated
Sep 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Authorized official

Name
Dr. Kenneth V Summer, M.D.NPI 1326032863
Title
President
Phone
(828) 322-4453

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 69097 NC Primary

Addresses

Primary practice location

1455 25TH Ave Dr NE
Hickory, NC 28601

Mailing address

1455 25TH Ave Dr NE
Hickory, NC 28601
Phone (828) 322-4453

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0246702Childhealth Center,the1455 25TH Ave Dr NE, Hickory, NC 28601AccreditationDec 22, 2027

National Provider Directory

National Provider Directory

Locations

1375 4th Street Dr NW
Hickory, NC 28601
Phone (828) 322-1213

1455 25th Avenue Dr NE
Hickory, NC 28601
Phone (828) 322-4453

Practitioners & affiliated clinicians

Practitioners 12

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": "1126224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664496000000",
    "number": "1295729747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 25TH AVE DR NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "28601",
            "telephone_number": "828-322-4453",
            "fax_number": "828-324-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 25TH AVE DR NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "28601",
            "telephone_number": "828-322-4453",
            "fax_number": "828-324-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHILDHEALTH CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-09",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A",
        "authorized_official_last_name": "SUMMER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-322-4453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "69097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.