NPIMap

Organization Active NPI

Oberlin Road Pediatrics, PA

  • Pediatrics Physician
  • Raleigh, NC
National Provider Identifier
1881667251
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
OBERLIN ROAD PEDIATRICS, PA
Practice address
1321 Oberlin Rd
A
Raleigh, NC 27608-2052
Phone
(919) 828-4747
Fax
(919) 828-6765
NPI assigned
Feb 8, 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
Mrs. Debbie Moore Thomas
Title
Practice Manager
Phone
(919) 828-4747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

1321 Oberlin Rd
A
Raleigh, NC 27608-2052

Mailing address

1321 Oberlin Rd
A
Raleigh, NC 27608-2052
Phone (919) 828-4747

National Provider Directory

National Provider Directory

Locations

1321 Oberlin Rd
Raleigh, NC 27608
Phone (919) 821-0008

3700 Barrett Dr
Ste 100
Raleigh, NC 27609
Phone (919) 828-4747

3700 Barrett Dr
Ste 1000
Raleigh, NC 27609
Phone (919) 828-4747

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881667251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 OBERLIN RD",
            "address_2": "A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276082052",
            "telephone_number": "919-828-4747",
            "fax_number": "919-828-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 OBERLIN RD",
            "address_2": "A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276082052",
            "telephone_number": "919-828-4747",
            "fax_number": "919-828-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBERLIN ROAD PEDIATRICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "MOORE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "919-828-4747",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, 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.