Coastal Childrens Clinic Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

COASTAL CHILDRENS CLINIC INC

Practice address

703 Newman Rd
New Bern, NC 28562-5239

Phone

(252) 633-2900

Fax

(252) 633-9609

NPI assigned

May 22, 2008

Last updated

May 22, 2008By 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

Diane Houck

Title

Administrator

Phone

(252) 633-2900

Specialties & licenses 1

Addresses

Tax ID family

Coastal Childrens Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Coastal Childrens Clinic

  • Pediatrics Physician
  • Maysville, NC
  • NPI 1437311248
  NPD tax ID
• Coastal Childrens Clinic

  • Pediatrics Physician
  • Havelock, NC
  • NPI 1962665653
  NPD tax ID

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1316104607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 NEWMAN RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625239",
            "telephone_number": "252-633-2900",
            "fax_number": "252-633-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 NEWMAN RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625239",
            "telephone_number": "252-633-2900",
            "fax_number": "252-633-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CHILDRENS CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "HOUCK",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "252-633-2900"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Carolina Health Care, PA (CCHC Orthopedics)
• Coastal Carolina Health Care, PA (CCHC Craven Podiatry)
• Coastal Carolina Health Care, PA (CCHC Psychiatry)
• Coastal Carolina Neurology, P.a.
• Coastal Childrens Clinic
• Coastal Ear Nose & Throat Associates PLLC
• Coastal Eye Clinic, PA (Coastal Eye Clinic Optical)
• Coastal Eye Clinic, PA
• Coastal Horizons Center Inc.
• Coastal Learning Resources

• Pediatrics Physician in New Bern, NC
• Providers in New Bern, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.