Active NPI
Shawn Kristian Centers, MD(H)
- Pediatrics Physician
- Chandler, AZ
National Provider Identifier
1003286782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 20A7407
- Practice address
- 2442 E Aloe PL
Chandler, AZ 85286-3109 - Phone
- (877) 614-4673
- NPI assigned
- Oct 7, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 20A7407 | CA | Primary |
Addresses
Primary practice location
2442 E Aloe PL
Chandler, AZ 85286-3109
Mailing address
2442 E Aloe PL
Chandler, AZ 85286-3109
Phone (619) 228-5515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 27, 2018 through Jul 27, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A7407 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651104000000",
"number": "1003286782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2442 E ALOE PL",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852863109",
"telephone_number": "619-228-5515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2442 E ALOE PL",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852863109",
"telephone_number": "877-614-4673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CENTERS",
"first_name": "SHAWN",
"middle_name": "KRISTIAN",
"name_prefix": "Dr.",
"credential": "MD(H)",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-07",
"last_updated": "2022-04-28",
"certification_date": "2022-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "20A7407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.