Active NPI
Mdco PA
- Pediatrics Physician
- Winston Salem, NC
National Provider Identifier
1649239641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 95-00759
- Legal business name
- MDCO PA
- Practice address
- 1995 Bethabara Rd
Winston Salem, NC 27106-3375 - Phone
- (336) 245-0333
- Fax
- (336) 245-0332
- NPI assigned
- Mar 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Timothy John Dalton, M.D.
- Title
- Physician
- Phone
- (336) 759-7596
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9500876 | NC | |
| Family Medicine Physician | 207Q00000X | 24445 | NC | |
| Family Medicine Physician | 207Q00000X | 9500759 | NC | |
| Internal Medicine Physician | 207R00000X | 95-00876 | NC | |
| Internal Medicine Physician | 207R00000X | 95-00759 | NC | |
| Pediatrics Physician | 208000000X | 95-00876 | NC | |
| Pediatrics Physician | 208000000X | 95-00759 | NC | Primary |
| Medical Physician Assistant | 363AM0700X | 102304 | NC | |
| Medical Physician Assistant | 363AM0700X | 101788 | NC | |
| Medical Physician Assistant | 363AM0700X | 101138 | NC |
Addresses
Primary practice location
1995 Bethabara Rd
Winston Salem, NC 27106-3375
Mailing address
1995 Bethabara Rd
Winston Salem, NC 27106-3375
Phone (336) 759-7596
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0222V | Other | NC | NORTH POINT MEDICAL BCBS |
| 3977 | Other | PARTNERS WEST FORSYTH | |
| 0296W | Other | NC | WEST FORSYTH FAMILY BCBS |
| 402116 | Other | UNITED HEALTHCARE WARNMNT | |
| 3981 | Other | PARTNERS NORTH POINT | |
| 402121 | Other | UNITED HEALTHCARE DALTON | |
| 287314 | Other | MAMSI LENDLE | |
| CN3058 | Other | NP RAILROAD MCR | |
| 330206 | Other | LAB NP & WF | |
| 890222V | Medicaid | NC | |
| 890296W | Medicaid | NC | |
| CJ5710 | Other | RAILROAD WF MEDICARE | |
| 102267 | Other | UNITED HEALTHCARE LENDLE |
Other names 1
- North Point Medical Associates; West Forsyth Family Medicine
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Winston-Salem, NC
- NPI 1912900648
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1649239641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1995 BETHABARA RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271063375",
"telephone_number": "336-759-7596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1995 BETHABARA RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271063375",
"telephone_number": "336-245-0333",
"fax_number": "336-245-0332"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MDCO PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-20",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "DALTON",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "336-759-7596",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NC",
"license": "9500876",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NC",
"license": "24445",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NC",
"license": "9500759",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NC",
"license": "95-00876",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NC",
"license": "95-00759",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NC",
"license": "95-00876",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NC",
"license": "95-00759",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "102304",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "101788",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "101138",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH POINT MEDICAL BCBS",
"identifier": "0222V",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS WEST FORSYTH",
"identifier": "3977",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WEST FORSYTH FAMILY BCBS",
"identifier": "0296W",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE WARNMNT",
"identifier": "402116",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS NORTH POINT",
"identifier": "3981",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE DALTON",
"identifier": "402121",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI LENDLE",
"identifier": "287314",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NP RAILROAD MCR",
"identifier": "CN3058",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LAB NP & WF",
"identifier": "330206",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890222V",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890296W",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD WF MEDICARE",
"identifier": "CJ5710",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE LENDLE",
"identifier": "102267",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "North Point Medical Associates; West Forsyth Family Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.