Organization Active NPI

Good Night Pediatrics Avondale PC

  • Pediatrics Physician
  • Avondale, AZ
National Provider Identifier
1013999135
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
GOOD NIGHT PEDIATRICS AVONDALE PC
Practice address
10320 W McDowell Rd
#L1238
Avondale, AZ 85323-4863
Phone
(623) 643-9233
Fax
(623) 643-9234
NPI assigned
Nov 15, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kathy Shick
Title
Director of Business Development
Phone
(623) 643-9233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X AZ Primary

Addresses

Primary practice location

10320 W McDowell Rd
#L1238
Avondale, AZ 85323-4863

Mailing address

10320 W McDowell Rd
#L1238
Avondale, AZ 85323-4863
Phone (623) 643-9233

Other identifiers 1

IdentifierTypeStateIssuer
960890MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013999135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10320 W MCDOWELL RD",
            "address_2": "#L1238",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853234863",
            "telephone_number": "623-643-9233",
            "fax_number": "623-643-9234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10320 W MCDOWELL RD",
            "address_2": "#L1238",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853234863",
            "telephone_number": "623-643-9233",
            "fax_number": "623-643-9234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD NIGHT PEDIATRICS AVONDALE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHICK",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "623-643-9233"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "960890",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.