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Export Provider Record NPI 1033108980
James Kenneth DziadziolaMD
Active
NPI Number1033108980
NPI TypeNPI-1 Individual
SpecialtyOtolaryngology
Provider Details
NPI1033108980
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2005-10-13
Last Updated2021-09-16
Mailing Address645 Amalia St Ne Ste 1
Concord, NC 28025-2434
United States
Phone: (704) 295-3255
📍 View Map
Primary Practice Address645 Amalia St Ne
Concord, NC 28025-2434
United States
Phone: (704) 295-3255
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207Y00000X – OtolaryngologyNC9700538
Export Provider Record NPI 1033108980
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About NPI 1033108980

James Kenneth Dziadziola MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1033108980. The primary specialty listed is Otolaryngology. The provider is located in Concord, NC. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-10-13. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1033108980?

NPI 1033108980 belongs to James Kenneth Dziadziola MD, a Otolaryngology in Concord, NC. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1033108980 active?

The current status of NPI 1033108980 in the NPPES registry is Active. The record was last updated on 2021-09-16.

What specialty is NPI 1033108980?

NPI 1033108980 is classified under the taxonomy Otolaryngology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1033108980?

You can verify NPI 1033108980 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1033108980?

The primary practice address on file for NPI 1033108980 is 645 Amalia St Ne, Concord, NC 28025-2434. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1033108980 issued?

NPI 1033108980 was first issued (enumerated) on 2005-10-13. The NPPES record was last updated on 2021-09-16.

Practice Location Map

James Kenneth Dziadziola is located at 645 Amalia St Ne, Concord, NC. Use the map below to find directions or verify the practice location.

📍 645 Amalia St Ne, Concord, NC 28025-2434  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as James Kenneth Dziadziola. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1033108980. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Otolaryngology9700538NC
Data Verified from CMS NPPES Last synced: 2026-07-25 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162