Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Lakeshore Pediatric Center, P.A.

Pediatrics Physician in Denver, NC · enumerated 2007 · authorized official Wissam Nadra, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366650707

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Lakeshore Pediatric Center, P.A.

Practice address 275 N Hwy 16, Suite: 103 Lakeshore Pediatric Center., Denver, NC, 28037

Phone (704) 489-8401

Fax (704) 489-8404

Enumeration date May 18, 2007

Last updated in NPPES Feb 4, 2011

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 2000-00103 (NC) Primary

Authorized official

Name Wissam Nadra

Title President

Phone (704) 489-8401

Other identifiers

Identifier	Type	State	Issuer
5950140	Medicaid	NC	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-02-04. Verify at npiregistry.cms.hhs.gov.

Where is Lakeshore Pediatric Center, P.A. located?

The practice location on file with NPPES is in Denver, NC.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-02-04.