Kiddie West Pediatrics Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

34-00-2237 Issued in OH

Legal business name

KIDDIE WEST PEDIATRICS INC

Practice address

4766 W Broad St
Columbus, OH 43228-1613

Phone

(614) 851-7337

Fax

(614) 851-0080

NPI assigned

Mar 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Carl R Backes, D.O.

Title

President

Phone

(614) 851-7337

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kiddie West Pediatric Center Doing business as

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dawn C Dillinger, DO

  • Pediatrics Physician
  • Columbus, OH
  • NPI 1053375691
  NPD (past)
• Alicia Marie Kuper, DO

  • Pediatrics Physician
  • Columbus, OH
  • NPI 1649234352
  NPD (past)
• Matthew M White, MD

  • Pediatrics Physician
  • Columbus, OH
  • NPI 1265496525
  NPD (past)
• James Michael Underwood, D.O.

  • Pediatrics Physician
  • Maricopa, AZ
  • NPI 1558365957
  NPD (past)

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1023087574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4766 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281613",
            "telephone_number": "614-851-7337",
            "fax_number": "614-851-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4766 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281613",
            "telephone_number": "614-851-7337",
            "fax_number": "614-851-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDDIE WEST PEDIATRICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "BACKES",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-851-7337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "34-00-2237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2356954",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kiddie West Pediatric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Justin Alex Kicos
• Delanyul Amir Kidd
• Kellie A Kidd, CNP
• Melissa Shearer Kidder, DPT
• Peyton Kidder, LSW
• Kiddos ABA Oh LLC
• Kidney Center of Bexley LLC
• Kidney Center of Whitehall LLC
• Kids Club ABA Oh LLC
• Kidsmiles Pediatric Dental Clinic

• Pediatrics Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.