J IVERSON RIDDLE DEVELOPMENTAL CENTER (NPI# 1194861617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194861617 |
| Entity Type | Organization |
| Organization Name | J IVERSON RIDDLE DEVELOPMENTAL CENTER |
| Other Organization Name | WESTERN CAROLINA CENTER |
| Practice Address |
300 Enola Road Morgantown NC 28655-4608 |
| Practice Telephone | 8284332722 |
| Practice Fax Number | 8284332724 |
| Mailing Telephone | 8284332722 |
| Mailing Fax Number | 8284332724 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. J MICHAEL HENNIKE (SECTION CHIEF DMH DD SAS STATE OPER) |
| Authorized Official Telephone | 9198554700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3406014 | 05 |
| Other Name | Type Code |
|---|---|
| Western Carolina Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386791796 | J Iverson Riddle Developmental Center | Clinic/Center | 300 Enola Rd, Morganton, NC 28655-4608 | 2007-01-05 |
| 1740340868 | J Iverson Riddle Developmental Center | Intermediate Care Facility, Mentally Retarded | 300 Enola Road, Morganton, NC 28655 | 2006-12-11 |
| Street Address |
300 ENOLA ROAD |
| City | MORGANTOWN |
| State | NC |
| Zip Code | 28655-4608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811128 | Foothills Family Dermatology | Dermatology | 118 North Sterling St, Morganton, NC 28655 | 2020-11-04 |
| 1225678071 | Melissa Marie Sisco | Psychologist | Broughton State Hospital, 1000 S. Sterling Street, Morganton, NC 28655 | 2020-01-09 |
| 1043864598 | Stout Scripts, Inc. | Pharmacy | 200 West Fleming Dr, Morganton, NC 28655 | 2019-08-01 |
| 1538626015 | Morganton Opco Holdings, LLC | Assisted Living Facility | 330 Juniper St, Morganton, NC 28655 | 2019-02-21 |
| 1982174843 | Katie Breeze Heald Dds PC | Dentist | 679 W. Fleming Dr., Morganton, NC 28655 | 2018-12-04 |
| 1104317353 | Dr Liner Ward & Shobe Dds Pa | Dentist | 503 S. Green Street, Morganton, NC 28655 | 2018-05-23 |
| 1578069779 | Catawba Valley Medical Servies | Speech-Language Pathologist | 409b S Sterling St, Morganton, NC 28655 | 2018-04-05 |
| 1336685601 | Clear Perspective, LLC | Counselor | 140 Beach Street, Morganton, NC 28655 | 2017-01-11 |
| 1245604800 | Burke Integrated Health | Family Medicine | 350 East Parker Road, Morganton, NC 28655 | 2015-11-19 |
| 1881079929 | Legacy Healthcare Services, Inc | General Acute Care Hospital | 4263 Bill Dale Rd, Morganton, NC 28655 | 2015-07-29 |
| Find all providers in zip 28655 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912533464 | Family Dentistry- Dr. Yooson Kim, LLC | Clinic/Center | 3411 Main St, Morgantown, PA 19543-7748 | 2020-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679170419 | Jones Kofford & Smith Dds Iv Pllc | Clinic/Center | 2420 Penny Rd, High Point, NC 27265-8120 | 2020-10-05 |
| 1871109041 | Steven D Robertson Dmd, Pa | Clinic/Center | 1613 Montford Dr Ste A, Charlotte, NC 28209-3793 | 2020-09-22 |
| 1477168532 | Caitlin Singleton Dds Pllc | Clinic/Center | 804 Desert Harbor Pl, Cary, NC 27519-9632 | 2020-09-14 |
| 1285243808 | Maja V Martin Dds Pa II | Clinic/Center | 4203 Corners Pkwy, Ste 100, Raleigh, NC 27617 | 2020-07-29 |
| 1265050504 | Hammock, Dmd & Lotakis, Dds X, Pllc | Clinic/Center | 9201 S Tryon St Ste A, Charlotte, NC 28273-4239 | 2020-07-13 |
| 1811514185 | Craig M. Mize Dds, Pa | Clinic/Center | 8300 Falls of Neuse Rd Ste 114, Raleigh, NC 27615-3450 | 2020-07-02 |
| 1730706110 | Maja V Martin, Dds, Pa1 | Clinic/Center | 7371 Six Forks Road, Raleigh, NC 27615 | 2020-07-01 |
| 1194349407 | Michelakis and Associates Pa | Clinic/Center | 1132 New Pointe Blvd Ste 4, Leland, NC 28451-4257 | 2020-06-02 |
| 1427677624 | New Hope Clinic, Inc. | Clinic/Center | 201 W Boiling Spring Rd, Southport, NC 28461-9730 | 2020-04-09 |
| 1699301440 | Tran and Javed Dds Pa | Clinic/Center | 6604 E Marshville Blvd Ste 1, Marshville, NC 28103-1198 | 2020-03-12 |
| Find all providers with the same taxonomy | ||||
| City | MORGANTOWN |
| Zip Code | 28655 |
Please comment or provide details below to improve the information on J IVERSON RIDDLE DEVELOPMENTAL CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.