Active NPI
Daniel Fitzpatrick, C.F.O.
- Specialist
- Gastonia, NC
National Provider Identifier
1720101801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 561 Cox Road
Gastonia, NC 28054-0628 - Phone
- (704) 866-7772
- Fax
- (704) 866-4292
- NPI assigned
- Apr 6, 2007
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
561 Cox Road
Gastonia, NC 28054-0628
Mailing address
561 Cox Road
Gastonia, NC 28054-0628
Phone (704) 866-7772
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7702806 | 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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287100800000",
"number": "1720101801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "561 COX ROAD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280540628",
"telephone_number": "704-866-7772",
"fax_number": "704-866-4292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "561 COX ROAD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280540628",
"telephone_number": "704-866-7772",
"fax_number": "704-866-4292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZPATRICK",
"first_name": "DANIEL",
"credential": "C.F.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-06",
"last_updated": "2010-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7702806",
"state": "NC"
}
],
"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 Oct 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.