Kiddie Kingdum Academy

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

KIDDIE KINGDUM ACADEMY

Practice address

1400 Scott Lake Rd
Waterford, MI 48328-1534

Phone

(248) 515-0549

NPI assigned

Apr 14, 2026

Organization subpart

No

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

Authorized official

Name

Sierra Travis

Title

Owner

Phone

(248) 515-0549

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1776124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1104760990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 SCOTT LAKE RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483281534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SCOTT LAKE RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483281534",
            "telephone_number": "248-515-0549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDDIE KINGDUM ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-14",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "TRAVIS",
        "authorized_official_first_name": "SIERRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-515-0549"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keystone Home Care
• Reda A Khalifa, M.D.
• Devyani S Khambete, M.D.
• Sana Khan
• Shazia Khan, OTRL
• Christine Kilbride
• Meghan Killewald
• Killinger & Vander Beek
• John Bradford Killinger, D.D.S.
• Amy C Kim

• Specialist in Waterford, MI
• Providers in Waterford, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.