NPIMap

Organization Active NPI

Southwestern Pediatrics PLLC

  • Pediatrics Physician
  • Gilbert, AZ
National Provider Identifier
1033437439
Registry record updated May 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
23086 Issued in AZ
Legal business name
SOUTHWESTERN PEDIATRICS PLLC
Practice address
2730 S Val Vista Dr Ste 161
Gilbert, AZ 85295-1680
Phone
(480) 857-6316
Fax
(480) 857-6638
NPI assigned
May 10, 2010
Organization subpart
Yes
Parent organization
SOUTHWESTERN PEDIATRICS PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 10, 2010

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

Authorized official

Name
Kellie Ann Denos
Title
Front Office
Phone
(480) 857-6316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 23086 AZ Primary

Addresses

Primary practice location

2730 S Val Vista Dr Ste 161
Gilbert, AZ 85295-1680

Mailing address

2730 S Val Vista Dr Ste 161
Gilbert, AZ 85295-1680
Phone (480) 857-6316

National Provider Directory

National Provider Directory
Tax ID family
Southwestern Pediatrics PLLC4 organizations share this tax ID, including this one
Part of
Southwestern Pediatrics PLLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2730 S Val Vista Dr
Ste 161
Gilbert, AZ 85295
Phone (480) 636-1225

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273449600000",
    "number": "1033437439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 S VAL VISTA DR STE 161",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951680",
            "telephone_number": "480-857-6316",
            "fax_number": "480-857-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 S VAL VISTA DR STE 161",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951680",
            "telephone_number": "480-857-6316",
            "fax_number": "480-857-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN PEDIATRICS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHWESTERN PEDIATRICS PLLC",
        "enumeration_date": "2010-05-10",
        "last_updated": "2010-05-10",
        "status": "A",
        "authorized_official_last_name": "DENOS",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "FRONT OFFICE",
        "authorized_official_telephone_number": "480-857-6316"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "23086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; 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.