Organization Active NPI

Dream Source Group, LLC

  • Multi-Specialty Clinic/Center
  • Charlotte, NC
National Provider Identifier
1679329494
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
DREAM SOURCE GROUP, LLC
Practice address
9305 Monroe Rd Ste a
Charlotte, NC 28270-2482
Phone
(561) 704-6781
NPI assigned
Apr 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Authorized official

Name
Troy Garr
Title
MBR
Phone
(215) 570-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

9305 Monroe Rd Ste a
Charlotte, NC 28270-2482

Mailing address

7601 N Federal Hwy Ste 245a
Boca Raton, FL 33487-1672

National Provider Directory

National Provider Directory

Locations

9305 Monroe Rd
Ste A
Charlotte, NC 28270
Phone (561) 252-9389

NPI Registry JSON

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1679329494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 N FEDERAL HWY STE 245A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 MONROE RD STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282702482",
            "telephone_number": "561-704-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM SOURCE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "GARR",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "215-570-8300"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.

Verify at the official NPI Registry.