Organization Active NPI

Cabarrus Pediatric Practice, Inc.

Doing business as Cabarrus Pediatrics - Kannapolis

  • Pediatrics Physician
  • Kannapolis, NC
National Provider Identifier
1861667388
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CABARRUS PEDIATRIC PRACTICE, INC.
Doing business as
Cabarrus Pediatrics - Kannapolis
Practice address
201 Dale Earnhardt Blvd
Suite 201
Kannapolis, NC 28081-0303
Phone
(704) 403-7735
Fax
(704) 932-0270
NPI assigned
Apr 25, 2008
Organization subpart
Yes
Parent organization
CABARRUS PEDIATRIC PRACTICE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Authorized official

Name
Thomas F Laymon
Title
Sr Vice President
Phone
(704) 403-2276

Specialties & licenses 1

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

Addresses

Primary practice location

201 Dale Earnhardt Blvd
Suite 201
Kannapolis, NC 28081-0303

Mailing address

201 Dale Earnhardt Blvd
Suite 201
Kannapolis, NC 28081-0303
Phone (704) 403-7735

Other identifiers 3

IdentifierTypeStateIssuer
0205UOtherNCBCBS NC
5950224OtherNCCAROLINA ACCESS
5950224MedicaidNC

Other names 1

  • Cabarrus Pediatrics - Kannapolis Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cabarrus Pediatric Prac2 organizations share this tax ID, including this one
Part of
Cabarrus Pediatric Prac

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1861667388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 DALE EARNHARDT BLVD",
            "address_2": "SUITE 201",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280810303",
            "telephone_number": "704-403-7735",
            "fax_number": "704-932-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 DALE EARNHARDT BLVD",
            "address_2": "SUITE 201",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280810303",
            "telephone_number": "704-403-7735",
            "fax_number": "704-932-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CABARRUS PEDIATRIC PRACTICE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CABARRUS PEDIATRIC PRACTICE, INC.",
        "enumeration_date": "2008-04-25",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "LAYMON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "SR VICE PRESIDENT",
        "authorized_official_telephone_number": "704-403-2276"
    },
    "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": "BCBS NC",
            "identifier": "0205U",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAROLINA ACCESS",
            "identifier": "5950224",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5950224",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cabarrus Pediatrics - Kannapolis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kannapolis, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.