DR. JEFFREY ARTHUR DVERGSTEN M.D. NPI 1871521443

NPI Information

NPI: 1871521443
Provider Name: DR. JEFFREY ARTHUR DVERGSTEN, M.D.
Classification: Pediatrics - 2080P0216X
Entity Type: Individual

Specialization: Pediatric Rheumatology

PECOS Registration: Yes

Address:
2100 ERWIN RD
DURHAM, NC
ZIP 27705
Phone: (919) 684-8111
Get Directions

DR. Jeffrey Arthur Dvergsten, M.D. is a pediatric rheumatology pediatrics in Durham, NC. The provider is a pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. DR. Jeffrey Arthur Dvergsten, M.D. NPI is 1871521443. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2100 ERWIN RD
DURHAM, NC
ZIP 27705-941
Phone: (919) 684-8111

The NPI 1871521443 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/30/2006 and was last updated on 1/19/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		45211	MINNESOTA	No
2	2080P0216X	Pediatrics	Pediatric Rheumatology	2010-01376	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0147475	MEDICAID	MONTANA
2	12-03423	OTHER	MINNESOTA	MEDICA CHOICE
3	12-09026	OTHER	MINNESOTA	MEDICA CHOICE
4	552443100	MEDICAID	MINNESOTA
5	631T9DV	OTHER	MINNESOTA	BCBS
6	1864181	OTHER	MINNESOTA	ARAZ
7	34800400	MEDICAID	WISCONSIN
8	1033631	OTHER	MINNESOTA	PREFERRED ONE
9	171323	OTHER	MINNESOTA	UCARE
10	HP37914	OTHER	MINNESOTA	HEALTHPARTNERS
11	0597021	MEDICAID	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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