NPIMap

Organization Active NPI

Kidzcare Pediatrics, PC

  • Pediatrics Physician
  • Fuquay Varina, NC
National Provider Identifier
1043765183
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
200101222 Issued in NC
Legal business name
KIDZCARE PEDIATRICS, PC
Practice address
609 Attain St
Suite 181
Fuquay Varina, NC 27526-1979
Phone
(919) 557-5433
Fax
(919) 557-6279
NPI assigned
Aug 18, 2016
Last updated
Aug 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Authorized official

Name
Rebecca E Wright, MD
Title
Credentials, Business Development
Phone
(910) 483-7337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 200101222 NC Primary

Addresses

Primary practice location

609 Attain St
Suite 181
Fuquay Varina, NC 27526-1979

Mailing address

5617 Ramsey St
Attn: Rebecca Wright
Fayetteville, NC 28311-1423
Phone (910) 483-7337

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2115967Kidzcare Pediatrics, PC609 Attain Street, Suite 181, Fuquay Varina, NC 27526Certificate of waiverJul 14, 2028

National Provider Directory

National Provider Directory
Tax ID family
Kidzcare Pediatrics PC28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

Practitioners & affiliated clinicians

Practitioners 2

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": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1043765183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5617 RAMSEY ST",
            "address_2": "ATTN: REBECCA WRIGHT",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283111423",
            "telephone_number": "910-483-7337",
            "fax_number": "910-483-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 ATTAIN ST",
            "address_2": "SUITE 181",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275261979",
            "telephone_number": "919-557-5433",
            "fax_number": "919-557-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDZCARE PEDIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CREDENTIALS, BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "910-483-7337",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "200101222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fuquay Varina, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.