NPIMap

Organization Active NPI

J Iverson Riddle Developmental Center

Doing business as Family, Infant and Preschool Program

  • Multi-Specialty Clinic/Center
  • Morganton, NC
National Provider Identifier
1386791796
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
J IVERSON RIDDLE DEVELOPMENTAL CENTER
Doing business as
Family, Infant and Preschool Program
Practice address
300 Enola Rd
Morganton, NC 28655-4608
Phone
(828) 433-2661
Fax
(828) 438-6457
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Authorized official

Name
Dr. Arthur J Robarge, PHD,MBA
Title
Facility Director
Phone
(828) 433-2711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

300 Enola Rd
Morganton, NC 28655-4608

Mailing address

300 Enola Rd
Morganton, NC 28655-4608
Phone (828) 433-2661

Other identifiers 1

IdentifierTypeStateIssuer
8300103MedicaidNC

Other names 1

  • Family, Infant and Preschool Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
J Iverson Riddle Developmental Center12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1386791796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 ENOLA RD",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554608",
            "telephone_number": "828-433-2661",
            "fax_number": "828-438-6457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ENOLA RD",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554608",
            "telephone_number": "828-433-2661",
            "fax_number": "828-438-6457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J IVERSON RIDDLE DEVELOPMENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "ROBARGE",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FACILITY DIRECTOR",
        "authorized_official_telephone_number": "828-433-2711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD,MBA"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300103",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family, Infant and Preschool Program",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family, Infant and Preschool Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morganton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.