Northeast Ear Nose and Throat Center PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

9700538 Issued in NC

Legal business name

NORTHEAST EAR NOSE AND THROAT CENTER PA

Practice address

3003 Dale Earnhardt Blvd
Suite 1
Kannapolis, NC 28083-1406

Phone

(704) 788-1103

Fax

(704) 786-1414

NPI assigned

Apr 13, 2006

Last updated

Jul 10, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James K Dziadziola Jr., MD

Title

Doctor

Phone

(704) 788-1103

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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.

• Martin Ricart III, PA-C

  • Hospitalist Physician
  • Salisbury, NC
  • NPI 1114932605
  NPD (past)

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1699739193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 DALE EARNHARDT BLVD",
            "address_2": "SUITE 1",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280831406",
            "telephone_number": "704-788-1103",
            "fax_number": "704-786-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 DALE EARNHARDT BLVD",
            "address_2": "SUITE 1",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280831406",
            "telephone_number": "704-788-1103",
            "fax_number": "704-786-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST EAR NOSE AND THROAT CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "DZIADZIOLA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "704-788-1103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "9700538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901322",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "01322",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nirvana Physical Therapy and Wellness LLC
• Carolyn Michelle Noble, PA
• Becky Yarbrough Norman, LCSWA
• Hannah Danielle Normand
• North Carolina CVS Pharmacy LLC (CVS Pharmacy #03529)
• Crystal Brevard Norton, M.A.
• Novant Health Medical Group, LLC (Novant Health Kannapolis Family Medicine)
• Novant Medical Group, Inc (Novant Health Pinnacle Orthopedics)
• Novant Medical Group, Inc. (North Charlotte Neurology - Kannapolis)
• Sarah Nwabara, RPH

• Specialist in Kannapolis, NC
• Providers in Kannapolis, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.