Organization Active NPI

Kidscare Pediatrics, P.a.

  • Primary Care Clinic/Center
  • Seneca, SC
National Provider Identifier
1003927690
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
22162 Issued in SC
Legal business name
KIDSCARE PEDIATRICS, P.A.
Practice address
109 Omni Dr Ste a
Seneca, SC 29672-9448
Phone
(864) 885-9448
Fax
(864) 885-1980
NPI assigned
Aug 31, 2006
Last updated
Nov 1, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Monica E Silva, M.D.
Title
Owner
Phone
(864) 885-9448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 22162 SC Primary

Addresses

Primary practice location

109 Omni Dr Ste a
Seneca, SC 29672-9448

Mailing address

PO Box 1647
Seneca, SC 29679-1647
Phone (864) 885-9448

Other identifiers 1

IdentifierTypeStateIssuer
GP4497MedicaidSC

National Provider Directory

National Provider Directory

Locations

109 Omni Dr
#A
Seneca, SC 29672
Phone (864) 885-1978

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1003927690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1647",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296791647",
            "telephone_number": "864-885-9448",
            "fax_number": "864-885-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 OMNI DR STE A",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296729448",
            "telephone_number": "864-885-9448",
            "fax_number": "864-885-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSCARE PEDIATRICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-885-9448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "SC",
            "license": "22162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4497",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.