Active NPI
Thomas A Dalton, M.D.
- Gastroenterology Physician
- Concord, NC
National Provider Identifier
1649289786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 36683
- Practice address
- 1070 Vinehaven Dr
Concord, NC 28025 - Phone
- (704) 783-1840
- Fax
- (704) 783-1850
- NPI assigned
- Aug 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 36683 | NC | Primary |
Addresses
Primary practice location
1070 Vinehaven Dr
Concord, NC 28025
Mailing address
1070 Vinehaven Dr
Concord, NC 28025
Phone (704) 783-1840
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26776 | Other | NC | BLUE CROSS BLUE SHIELD |
| 8926776 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36683 | NC | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194480000000",
"number": "1649289786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1070 VINEHAVEN DR",
"city": "CONCORD",
"state": "NC",
"postal_code": "28025",
"telephone_number": "704-783-1840",
"fax_number": "704-783-1850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1070 VINEHAVEN DR",
"city": "CONCORD",
"state": "NC",
"postal_code": "28025",
"telephone_number": "704-783-1840",
"fax_number": "704-783-1850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALTON",
"first_name": "THOMAS",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2007-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NC",
"license": "36683",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "26776",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8926776",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.