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DOCKSIDE PEDIATRICS, PLLC
NPI 1740766815
Pediatrics in Wilmington, NC

Active since July 12, 2018CLIA 34D2142774 · Waiver
5710 OLEANDER DR STE 207, WILMINGTON, NC 28403(910) 399-1954(910) 399-2702 Get Directions Write a Review

NPPES record last updated: February 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 2, 2022, Jun 11, 2019, Jul 12, 2018 (3 updates tracked since 2018).

About Dockside Pediatrics, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOCKSIDE PEDIATRICS, PLLC (NPI 1740766815) is a healthcare organization registered as a pediatrics in Wilmington, North Carolina and active in the NPI registry since July 2018. The organization holds a CLIA Waiver certificate valid through January 18, 2028 and lists Nathan Paul Cook, Co-owner/manager, as its authorized official.

NPPES Registry Identity

NPI1740766815
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameDOCKSIDE PEDIATRICS, PLLC
Location Address5710 OLEANDER DR STE 207Wilmington, NC 28403-4722
Mailing Address5710 Oleander Dr Ste 207Wilmington, NC 28403-4722 · (910) 399-1954 · Fax (910) 399-2702
Phone(910) 399-1954
Fax(910) 399-2702
Organization SubpartNo
Authorized OfficialNathan Paul CookCo-owner/manager · (910) 399-1954
Enumeration DateJuly 12, 2018
Last NPPES UpdateFebruary 2, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2022
✔ NPI 1740766815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5710 OLEANDER DR STE 207, Wilmington, NC 28403
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Other Identifiers 2

Other1164545984Npi
Other1396918926Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2142774

Dockside Pediatrics, PLLC · Wilmington, NC
Active · expires Jan 18, 2028
CLIA Number34D2142774
Laboratory TypePhysician Office
Certificate Effective DateJanuary 19, 2026
Certificate Expiration DateJanuary 18, 2028
Laboratory DirectorCook Nathan P Yandle - Marc
Laboratory Phone(910) 399-1954
Laboratory LocationDockside Pediatrics, PLLC5710 Oleander Drive, Suite 207, Wilmington, NC 28403
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATHAN PAUL COOK DO
Pediatrics
5710 OLEANDER DR STE 207
WILMINGTON, NC 28403
New Hanover County (910) 399-1954

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 Dockside Pediatrics, PLLC's NPI number?

The NPI number for Dockside Pediatrics, PLLC is 1740766815. It was assigned to this organization in the NPPES registry on July 12, 2018.

Where is Dockside Pediatrics, PLLC located?

Dockside Pediatrics, PLLC is located at 5710 Oleander Dr Ste 207, Wilmington, NC 28403. The listed phone number is (910) 399-1954.

What is Dockside Pediatrics, PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Dockside Pediatrics, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2142774) is associated with this NPI, valid through January 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dockside Pediatrics, PLLC was last updated on February 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.