Organization Active NPI

Oceanside Pediatrics

  • Pediatrics Physician
  • Morehead City, NC
National Provider Identifier
1750526257
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
153474 Issued in NC
Legal business name
OCEANSIDE PEDIATRICS
Practice address
3701 John Platt Dr
Morehead City, NC 28557-4372
Phone
(252) 622-4448
Fax
(252) 622-4014
NPI assigned
Dec 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Authorized official

Name
Dr. Andrew Kenneth Kiluk, MD
Title
Owner
Phone
(252) 622-4448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 153474 NC Primary

Addresses

Primary practice location

3701 John Platt Dr
Morehead City, NC 28557-4372

Mailing address

3701 John Platt Dr
Morehead City, NC 28557-4372
Phone (252) 622-4448

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343347200000",
    "number": "1750526257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 JOHN PLATT DR",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574372",
            "telephone_number": "252-622-4448",
            "fax_number": "252-622-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 JOHN PLATT DR",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574372",
            "telephone_number": "252-622-4448",
            "fax_number": "252-622-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANSIDE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-11",
        "last_updated": "2012-07-27",
        "status": "A",
        "authorized_official_last_name": "KILUK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-622-4448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "153474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.