DENNIS WAYNE PETTIS (NPI# 1457996712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457996712 |
| Entity Type | Individual |
| Full Name | DENNIS WAYNE PETTIS |
| Practice Address |
420 E Homestead Ave Shelby NC 28152-9502 |
| Practice Telephone | 7044770852 |
| Practice Fax Number | 7048671414 |
| Mailing Telephone | 7044770852 |
| Mailing Fax Number | 7048671414 |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2019-11-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | NC | Other Service Providers |
| Street Address |
420 E HOMESTEAD AVE |
| City | SHELBY |
| State | NC |
| Zip Code | 28152-9502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831720820 | The Kid Guru, LLC | Community/Behavioral Health | 6852 Landor Drive, Shelby, NC 28152 | 2020-01-29 |
| 1609370568 | Crossroads Treatment Center of Cleveland County, PC | Community/Behavioral Health | 1895 E Dixon Blvd, Shelby, NC 28152 | 2018-03-23 |
| 1184166944 | Collette Scruggs | Counselor | 200-2 South Post Road, Shelby, NC 28152 | 2016-11-10 |
| 1902277981 | Angela Hamilton Jones | Social Worker | 1243 East Dixon Blvd., Suite 4, Shelby, NC 28152 | 2015-10-15 |
| 1982002614 | Gillian Aloisia Squillacioti | Counselor | 1635 S Dekalb St, Apt 109, Shelby, NC 28152 | 2014-12-11 |
| 1578963765 | Lucy Mcdaniel | Nurse Practitioner | 200 South Post Road, Shelby, NC 28152 | 2014-08-26 |
| 1689086332 | Stanley Todd Bilin | Marriage & Family Therapist | 1243-4 East Dixon Blvd, Shelby, NC 28152 | 2014-05-29 |
| 1144512872 | Sydney M Phipps | Counselor | 1201 S Post Rd # 100, Shelby, NC 28152 | 2011-05-13 |
| 1659602928 | Katherine Ruthsatz Kjergaard | Physician Assistant | 105 East College Street, Shelby, NC 28152 | 2010-01-26 |
| 1407099229 | Cnc / Access, Inc. | Community/Behavioral Health | 1165 Country Home Road, Shelby, NC 28152 | 2009-04-09 |
| Find all providers in zip 28152 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952901571 | Kathy Robinson | Driver | 1510 Benjamin Pkwy Apt F, Greensboro, NC 27408-4617 | 2020-11-01 |
| 1033726823 | Ron Hines | Driver | 249 Norman Shoaf Rd, Winston Salem, NC 27107-7400 | 2020-09-26 |
| 1407462799 | Shanice Gibbs | Driver | 1934 Longleaf Ln, Greenville, NC 27858-9049 | 2020-09-22 |
| 1336750959 | Ebony Nichole Sanders | Driver | 312 Kilgo, Clayton, NC 27520 | 2020-08-17 |
| 1598375479 | Cierra N Dail | Driver | 1806 N Herritage St, Kinston, NC 28501-2216 | 2020-08-05 |
| 1588274633 | Keila Rodriguez | Driver | 2642 Green Heron Dr, Fayetteville, NC 28306-3580 | 2020-08-04 |
| 1437768355 | Joselyn Hillmon | Driver | 201 New Bridge St Ste 107, Jacksonville, NC 28540-4736 | 2020-07-27 |
| 1225655897 | Omar S Williams | Driver | 212 Academy Dr, Greenville, NC 27834-8775 | 2020-06-30 |
| 1992328124 | Tori Wentz | Driver | 7137 Badenoch Ct, Charlotte, NC 28217-3483 | 2020-05-21 |
| 1043832561 | Grayjones Courier Logistics LLC | Driver | 8119 Bella Vista Ct, Charlotte, NC 28216-2003 | 2020-05-07 |
| Find all providers with the same taxonomy | ||||
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| 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.