Organization Active NPI

Carolina Clinic for Digestive Diseases

  • Specialist
  • Gastonia, NC
National Provider Identifier
1700965902
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
33956 Issued in NC
Legal business name
CAROLINA CLINIC FOR DIGESTIVE DISEASES
Practice address
1040 X Ray Dr
Ste B
Gastonia, NC 28054-5438
Phone
(704) 854-9990
Fax
(704) 854-9045
NPI assigned
Nov 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
William Caddick, M.D.NPI 1427129154
Title
President
Phone
(704) 854-9990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 33956 NC Primary

Addresses

Primary practice location

1040 X Ray Dr
Ste B
Gastonia, NC 28054-5438

Mailing address

1040 X Ray Dr
Ste B
Gastonia, NC 28054-5438
Phone (704) 854-9990

National Provider Directory

National Provider Directory

Locations

1040 X Ray Dr
Ste B
Gastonia, NC 28054
Phone (704) 884-0064

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700965902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 X RAY DR",
            "address_2": "STE B",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545438",
            "telephone_number": "704-854-9990",
            "fax_number": "704-854-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 X RAY DR",
            "address_2": "STE B",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545438",
            "telephone_number": "704-854-9990",
            "fax_number": "704-854-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CLINIC FOR DIGESTIVE DISEASES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CADDICK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-854-9990",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "33956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.