HEALTH SOURCE OF MONROE
NPI 1851692891
Clinic/Center in Monroe, NC

Active since November 08, 2010
1309 E SUNSET DR, MONROE, NC 28112(704) 296-9090 Get Directions Write a Review

NPPES record last updated: November 8, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Health Source Of Monroe NPPES

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

HEALTH SOURCE OF MONROE (NPI 1851692891) is a healthcare organization registered as a clinic/center in Monroe, North Carolina and active in the NPI registry since November 2010. The organization lists Michael Riccoboni, Organizing Member, as its authorized official.

NPPES Registry Identity

NPI1851692891
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameDDMR PLLC
Location Address1309 E SUNSET DRMonroe, NC 28112-4324
Mailing Address420 Utility DrClemmons, NC 27012-8397 · (336) 766-5935 · Fax (336) 766-5365
Organization SubpartNo
Authorized OfficialMichael RiccoboniOrganizing Member · (336) 766-5935
Enumeration DateNovember 8, 2010
NPI 1851692891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in NC · 3062
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1309 E SUNSET DR, Monroe, NC 28112

Other Names 1

Doing Business AsHealth Source Of Monroe

Other Identifiers 8

Other1477587947NC · Npi
Medicare UPINU63851NC
Other1013998848NC · Npi
Medicaid085HMNC
Medicare PIN2450746ANC
Medicaid890833WNC
Medicare UPINU95430NC
Medicare PIN2456520NC

Other Providers at the Same Location NPPES 4

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

Chiropractor
1309 E SUNSET DR
MONROE, NC 28112
Radiology (Diagnostic Radiology)
1309 E SUNSET DR
MONROE, NC 28112
Chiropractor
1309 E SUNSET DR
MONROE, NC 28112
Chiropractor
1309 E SUNSET DR
MONROE, NC 28112

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 Ddmr PLLC's NPI number?

The NPI number for Ddmr PLLC is 1851692891. It was assigned to this organization in the NPPES registry on November 8, 2010. The provider is doing business as Health Source Of Monroe.

Where is Ddmr PLLC located?

Ddmr PLLC is located at 1309 E Sunset Dr, Monroe, NC 28112. The listed phone number is (704) 296-9090.

What is Ddmr PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Ddmr PLLC was last updated on November 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.