NPIMap

Organization Active NPI

Lincoln Pediatrics Clinic,PA

  • Specialist
  • Lincolnton, NC
National Provider Identifier
1477510659
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
LINCOLN PEDIATRICS CLINIC,PA
Practice address
113 Doctors Park
Lincolnton, NC 28092-4407
Phone
(704) 735-1441
NPI assigned
Apr 30, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Mrs. Mina S Mofrad
Title
Treasurer
Phone
(704) 735-1441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

113 Doctors Park
Lincolnton, NC 28092-4407

Mailing address

113 Doctors Park
Lincolnton, NC 28092-4407
Phone (704) 735-1441

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0672047Lincoln Pediatrics Clinic, PA113 Doctors Park, Lincolnton, NC 28092Certificate of waiverJul 11, 2027

National Provider Directory

National Provider Directory

Locations

113 Doctors Park
Lincolnton, NC 28092
Phone (704) 735-1441

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1146355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477510659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 DOCTORS PARK",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280924407",
            "telephone_number": "704-735-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 DOCTORS PARK",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280924407",
            "telephone_number": "704-735-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN PEDIATRICS CLINIC,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOFRAD",
        "authorized_official_first_name": "MINA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "704-735-1441",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnton, 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.
  • 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.