Active NPI
Carmel Pediatrics, PA
- Pediatrics Physician
- Charlotte, NC
National Provider Identifier
1932438686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 93-00080
- Legal business name
- CARMEL PEDIATRICS, PA
- Practice address
- 7825 Ballantyne Commons Pkwy
Suite 100
Charlotte, NC 28277-3174 - Phone
- (704) 752-2000
- Fax
- (704) 752-1212
- NPI assigned
- Dec 9, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ada Barbara Dickinson, M.D.
- Title
- President of Carmel Pediatrics, PA
- Phone
- (704) 752-2000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 93-00080 | NC | Primary |
Addresses
Primary practice location
7825 Ballantyne Commons Pkwy
Suite 100
Charlotte, NC 28277-3174
Mailing address
7825 Ballantyne Commons Pkwy
Suite 100
Charlotte, NC 28277-3174
Phone (704) 752-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890196T | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
7825 Ballantyne Commons Pkwy
Ste 100
Charlotte, NC 28277
Phone (704) 752-2000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Charlotte, NC
- NPI 1811918980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294012800000",
"number": "1932438686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7825 BALLANTYNE COMMONS PKWY",
"address_2": "SUITE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282773174",
"telephone_number": "704-752-2000",
"fax_number": "704-752-1212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7825 BALLANTYNE COMMONS PKWY",
"address_2": "SUITE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282773174",
"telephone_number": "704-752-2000",
"fax_number": "704-752-1212"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARMEL PEDIATRICS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-09",
"last_updated": "2011-01-03",
"status": "A",
"authorized_official_last_name": "DICKINSON",
"authorized_official_first_name": "ADA",
"authorized_official_middle_name": "BARBARA",
"authorized_official_title_or_position": "PRESIDENT OF CARMEL PEDIATRICS, PA",
"authorized_official_telephone_number": "704-752-2000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NC",
"license": "93-00080",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890196T",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.