Pediatric Endocrinology & Diabetes Specialists

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

Legal business name

PEDIATRIC ENDOCRINOLOGY & DIABETES SPECIALISTS

Practice address

2550 Court Dr
Suite 203
Gastonia, NC 28054-2152

Phone

(704) 512-3636

Fax

(704) 334-7956

NPI assigned

Apr 15, 2010

Organization subpart

No

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

Authorized official

Name

Daniel L Wiens

Title

Senior Vice President of Operations

Phone

(704) 355-0648

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322784000000",
    "number": "1346566361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601381",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601381",
            "telephone_number": "704-512-3636",
            "fax_number": "704-334-7956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 COURT DR",
            "address_2": "SUITE 203",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542152",
            "telephone_number": "704-512-3636",
            "fax_number": "704-334-7956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ENDOCRINOLOGY & DIABETES SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-15",
        "last_updated": "2011-12-02",
        "status": "A",
        "authorized_official_last_name": "WIENS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "704-355-0648"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cambi Danielle Pearson, LMBT
• Darryl Hector Pearson, M.D.
• Deanna Pearson, LPN
• Peculiar Generation Community Enrichment, Inc.
• Pediatric Dentistry and Orthodontics
• Pediatric Hands on Therapy, PC
• Hannah Pegram, MSW, LCSW
• Carly Nicole Pellerin, OTA
• Diane Pearl Pelletier, CNM
• Victoria Brown Pendergrass, LCMHCA

• Pediatric Endocrinology Physician in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Pediatric Endocrinology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.