NPIMap

Organization Active NPI

Just 4 Kids Health LLC

Doing business as Just 4 Kids Primary Care

  • Pediatrics Physician
  • Rexburg, ID
National Provider Identifier
1083338651
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
JUST 4 KIDS HEALTH LLC
Doing business as
Just 4 Kids Primary Care
Practice address
1236 Bond Ave Ste B
Rexburg, ID 83440-3503
Phone
(208) 656-1500
NPI assigned
Sep 28, 2022
Last updated
Jul 20, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
JUST 4 KIDS HEALTH LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Authorized official

Name
Dr. Aaron Gardner, MDNPI 1487868311
Title
President
Phone
(208) 656-7396

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

1236 Bond Ave Ste B
Rexburg, ID 83440-3503

Mailing address

PO Box 1407
Idaho Falls, ID 83403-1407
Phone (208) 656-7396

Other names 1

  • Just 4 Kids Primary Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Just 4 Kids Health LLC3 organizations share this tax ID, including this one
Part of
Just 4 Kids Health LLC

Other organizations with this tax ID 2

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

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.

Practitioners & affiliated clinicians

Practitioners 11

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": "1664323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1083338651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1407",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834031407",
            "telephone_number": "208-656-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 BOND AVE STE B",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834403503",
            "telephone_number": "208-656-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST 4 KIDS HEALTH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JUST 4 KIDS HEALTH LLC",
        "enumeration_date": "2022-09-28",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-656-7396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Just 4 Kids Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Just 4 Kids Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rexburg, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.