Organization Active NPI

Carmel Pediatrics, PA

  • Pediatrics Physician
  • Charlotte, NC
National Provider Identifier
1932438686
Registry record updated Jan 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
93-00080 Issued in NC
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

Updated by the provider on Jan 3, 2011

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.NPI 1811918980
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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
890196TMedicaidNC

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.