Kids Pediatric Care LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

KIDS PEDIATRIC CARE LLC

Practice address

7711 E 111TH St Ste 111
Tulsa, OK 74133-2563

Phone

(918) 394-5437

Fax

(918) 394-5400

NPI assigned

Jun 17, 2024

Organization subpart

No

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

Authorized official

Name

Philip Andrew Pfanstiel

Title

Managing Member

Phone

(682) 225-1497

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1023851177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7711 E 111TH ST STE 111",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741332563",
            "telephone_number": "682-225-1497",
            "fax_number": "918-394-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7711 E 111TH ST STE 111",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741332563",
            "telephone_number": "918-394-5437",
            "fax_number": "918-394-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS PEDIATRIC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "PFANSTIEL",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "682-225-1497"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexia Faye Kidder, DO
• Skyler Kristine Kiddy
• Kids Dental
• Kids Health Care PC
• Kids Pediatric and Adolescent Care
• Alysha Kieck, COTA/L
• Mark Adrain Kiefer, MD
• Jessica Bliss Kiehl
• Natalija Kielhorn, CNP
• Kevin Thomas Kierl, M.D.

• Pediatrics Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Pediatrics Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.