NPIMap

Organization Active NPI

Mainstreet and Kidsstreet of North Carolina PLLC

  • Urgent Care Clinic/Center
  • Wilmington, NC
National Provider Identifier
1558075689
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MAINSTREET AND KIDSSTREET OF NORTH CAROLINA PLLC
Practice address
4117 Oleander Dr
Wilmington, NC 28403-6821
Phone
(256) 854-9989
NPI assigned
Jan 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Authorized official

Name
Krista Rock
Title
VP
Phone
(205) 545-5090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

4117 Oleander Dr
Wilmington, NC 28403-6821

Mailing address

1500 1St Ave N
Birmingham, AL 35203-1865

Other names 1

  • MainStreet Family Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mainstreet and Kidsstreet of North Carolina PLLC35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773964800000",
    "number": "1558075689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 1ST AVE N",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352031865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4117 OLEANDER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036821",
            "telephone_number": "256-854-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINSTREET AND KIDSSTREET OF NORTH CAROLINA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-12",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A",
        "authorized_official_last_name": "ROCK",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "205-545-5090"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MainStreet Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.