Dockside Pediatrics, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

DOCKSIDE PEDIATRICS, PLLC

Practice address

5710 Oleander Dr Ste 207
Wilmington, NC 28403-4722

Phone

(910) 399-1954

Fax

(910) 399-2702

NPI assigned

Jul 12, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Nathan Paul Cook, DONPI 1396918926

Title

Co-Owner/Manager

Phone

(910) 399-1954

Specialties & licenses 1

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nathan Paul Cook, DO

  • Pediatrics Physician
  • Wilmington, NC
  • NPI 1396918926
  NPD Authorized official

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1740766815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 OLEANDER DR STE 207",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034722",
            "telephone_number": "910-399-1954",
            "fax_number": "910-399-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 OLEANDER DR STE 207",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034722",
            "telephone_number": "910-399-1954",
            "fax_number": "910-399-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCKSIDE PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-12",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CO-OWNER/MANAGER",
        "authorized_official_telephone_number": "910-399-1954",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1164545984",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1396918926",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Lorraine Dobens, M.A.
• Hannah Lillian Steed Dobson, LCSW
• Tia Latrinda Dobson, MSW,LCSWA
• Joshua David Dobstaff, MD
• Allison Doby, DPT
• Doctors Wilson and Kelly, PLLC (Shoreline Oral and Facial Surgery Associates)
• Carmen Elise Dodson, MA, CCC-SLP
• Amelia Doerter
• Russell David Dolan, MD
• Christina L Dolinar, PA

• Pediatrics Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.