OrganizationActive
Lakeshore Pediatric Center, P.A.
NPI 1366650707 · Pediatrics Physician · Denver, NC
Lakeshore Pediatric Center, P.A. is a Pediatrics Physician organization in Denver, NC (NPI 1366650707).
Provider details
- NPI number
- 1366650707
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Wissam Nadra, President(704) 489-8401
- License
- 2000-00103 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
275 N Hwy 16
Suite: 103 Lakeshore Pediatric Center.
Denver, NC 28037
Phone: (704) 489-8401
Fax: (704) 489-8404
Street-level locationGet directions
Mailing address
275 N Hwy 16
Denver, NC 28037
Registry dates
- Enumerated
- 2007-05-18
- Last updated
- 2011-02-04
Frequently asked questions
- What is Lakeshore Pediatric Center, P.A.'s NPI number?
- Lakeshore Pediatric Center, P.A.'s National Provider Identifier (NPI) is 1366650707, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeshore Pediatric Center, P.A.?
- Lakeshore Pediatric Center, P.A. is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Lakeshore Pediatric Center, P.A. located?
- Lakeshore Pediatric Center, P.A.'s practice location on file with NPPES is 275 N Hwy 16, Denver, NC 28037.
- What is Lakeshore Pediatric Center, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Lakeshore Pediatric Center, P.A. is (704) 489-8401.
- Who is the authorized official for Lakeshore Pediatric Center, P.A.?
- The authorized official listed on Lakeshore Pediatric Center, P.A.'s NPPES record is Wissam Nadra, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeshore Pediatric Center, P.A.'s NPI active?
- Yes — Lakeshore Pediatric Center, P.A.'s NPI (1366650707) is active in the NPPES registry as of the last update on 2011-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.