Cherub Kidz Pediatrics

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

AP120780 Issued in TX

Legal business name

CHERUB KIDZ PEDIATRICS

Practice address

9318 Louetta Rd
Suite 400
Spring, TX 77379-6520

Phone

(346) 808-5904

Fax

(346) 808-5913

NPI assigned

Feb 3, 2017

Organization subpart

No

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

Authorized official

Name

Deborah Borgman, FNP

Title

Provider/ Owner

Phone

(346) 808-5904

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1053859637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9318 LOUETTA RD",
            "address_2": "SUITE 400",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773796520",
            "telephone_number": "346-808-5904",
            "fax_number": "346-808-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9318 LOUETTA RD",
            "address_2": "SUITE 400",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773796520",
            "telephone_number": "346-808-5904",
            "fax_number": "346-808-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERUB KIDZ PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "BORGMAN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "PROVIDER/ OWNER",
        "authorized_official_telephone_number": "346-808-5904",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "AP120780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "345738403",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "345738404",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "345738405",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ping Chen
• William Min-Choy Chen, M.D.
• Simone Chenier
• Rah-Kimm Kauron Cherry Sr., BSN, RN
• Cherrystone Dental, PLLC
• Juliana Chesser, LPC, NCC
• Rasmey Chhin, D.O.
• Melissa P Chiang, MD
• Christopher Chiavaroli, P.T.
• Alexandra Childres

• Clinic/Center in Spring, TX
• Providers in Spring, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.