NPIMap

Organization Active NPI

Roanoke Valley Pediatrics PLLC

  • Clinic/Center
  • Roanoke Rapids, NC
National Provider Identifier
1295845063
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ROANOKE VALLEY PEDIATRICS PLLC
Practice address
915 Park Ave
Roanoke Rapids, NC 27870-3029
Phone
(252) 535-5437
Fax
(252) 537-7337
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Badriprasad R Donthi, M.D.
Title
Medical Director
Phone
(252) 535-5437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

915 Park Ave
Roanoke Rapids, NC 27870-3029

Mailing address

915 Park Ave
Roanoke Rapids, NC 27870-3029
Phone (252) 535-5437

National Provider Directory

National Provider Directory

Locations

915 Park Ave
Roanoke Rapids, NC 27870
Phone (252) 535-5437

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295845063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 PARK AVE",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278703029",
            "telephone_number": "252-535-5437",
            "fax_number": "252-537-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 PARK AVE",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278703029",
            "telephone_number": "252-535-5437",
            "fax_number": "252-537-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROANOKE VALLEY PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DONTHI",
        "authorized_official_first_name": "BADRIPRASAD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "252-535-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke Rapids, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.