Organization Active NPI

Cabarrus Pediatric Practice, Inc

  • Pediatrics Physician
  • Concord, NC
National Provider Identifier
1295797272
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CABARRUS PEDIATRIC PRACTICE, INC
Practice address
66 Lake Concord Rd NE
Concord, NC 28025-3057
Phone
(704) 403-7720
Fax
(704) 403-7730
NPI assigned
Apr 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Authorized official

Name
Thomas F Laymon
Title
Sr Vice President
Phone
(704) 403-2276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

66 Lake Concord Rd NE
Concord, NC 28025-3057

Mailing address

66 Lake Concord Rd NE
Concord, NC 28025-3057
Phone (704) 403-7720

Other identifiers 3

IdentifierTypeStateIssuer
0205UOtherNCBCBS GROUP ID
890205UMedicaidNC
270376OtherNCMAMSI GROUP ID

Other names 1

  • Cabarrus Pediatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cabarrus Pediatric Prac2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4501 Cameron Valley Pkwy
Ste 200B
Charlotte, NC 28211
Phone (704) 381-0500

447 McAlister Rd
Ste 3300
Lincolnton, NC 28092
Phone (980) 212-2680

Ownership & related parties

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.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1295797272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 LAKE CONCORD RD NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280253057",
            "telephone_number": "704-403-7720",
            "fax_number": "704-403-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 LAKE CONCORD RD NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280253057",
            "telephone_number": "704-403-7720",
            "fax_number": "704-403-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CABARRUS PEDIATRIC PRACTICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "LAYMON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "SR VICE PRESIDENT",
        "authorized_official_telephone_number": "704-403-2276"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP ID",
            "identifier": "0205U",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890205U",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI GROUP ID",
            "identifier": "270376",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cabarrus Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 26, 2016; 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.