TATE D PARK
NPI 1417860164
Driver in Graham, NC
About Tate D Park NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TATE D PARK (NPI 1417860164) is an individual driver provider in Graham, North Carolina, licensed in North Carolina (000044383480) and active in the NPI registry since September 2026.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tate Park's NPI number?
The NPI number for Tate Park is 1417860164. It was assigned to this individual provider in the NPPES registry on September 24, 2026.
Where is Tate Park located?
Tate Park practices at 1208 E Main St, Graham, NC 27253. The listed phone number is (336) 972-2679.
What is Tate Park's specialty?
The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.
When was this NPI record last updated?
The NPPES record for Tate Park was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tate D Park · NPI 1417860164
Driver provider in Graham, North Carolina. Individual provider, active in the CMS NPPES registry since September 24, 2026.
## Identity
- **NPI:** 1417860164 (Entity type: Individual)
- **Enumerated:** September 24, 2026
- **Primary specialty:** Driver · taxonomy 172A00000X
- **State license:** 000044383480 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1208 E MAIN ST, Graham, NC 27253-8547
- **Phone:** (336) 972-2679
## Record status
- **NPPES last updated:** September 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1417860164) · Data from the CMS NPPES public registry.