Lake Norman Pediatrics, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

LAKE NORMAN PEDIATRICS, PA

Practice address

656 Carpenter Ave
Mooresville, NC 28115-2538

Phone

(704) 664-1297

Fax

(704) 799-6356

NPI assigned

Apr 26, 2006

Last updated

Aug 22, 2020By 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

Mrs. Kim M Cavin

Title

Office Manager

Phone

(704) 664-1297

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427015254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 CARPENTER AVE",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152538",
            "telephone_number": "704-664-1297",
            "fax_number": "704-799-6356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 CARPENTER AVE",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152538",
            "telephone_number": "704-664-1297",
            "fax_number": "704-799-6356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE NORMAN PEDIATRICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAVIN",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "704-664-1297",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Norman Neurology
• Lake Norman Neurology PA
• Lake Norman OBGYN LLP
• Lake Norman Ophthalmology PLLC
• Lake Norman Pain and Weight Management, LLC
• Lake Norman Plastic Surgery
• Lake Norman Psychiatry & Counseling, PLLC
• Lake Norman Pulmonary & Sleep, PA
• Lake Norman Regional Medical Center-Home Health (Lake Norman Home Health)
• Lake Norman Sleep Center, PA

• Pediatrics Physician in Mooresville, NC
• Providers in Mooresville, 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 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.