Organization Active NPI

Kids First Pediatrics PLLC

  • Pediatrics Physician
  • Hazel Park, MI
National Provider Identifier
1114322559
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
KIDS FIRST PEDIATRICS PLLC
Practice address
350 E 9 Mile Rd Ste 1
Hazel Park, MI 48030-1854
Phone
(248) 397-8031
Fax
(248) 397-8320
NPI assigned
Oct 28, 2014
Last updated
Jan 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Authorized official

Name
Dr. Ami Anna Hatta, MD
Title
Owner
Phone
(248) 397-8031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

350 E 9 Mile Rd Ste 1
Hazel Park, MI 48030-1854

Mailing address

350 E 9 Mile Rd Ste 1
Hazel Park, MI 48030-1854
Phone (248) 397-8031

National Provider Directory

National Provider Directory

Locations

350 E 9 Mile Rd
Ste 1
Hazel Park, MI 48030
Phone (248) 397-8031

624 E 9 Mile Rd
Ste 4
Hazel Park, MI 48030
Phone (248) 397-8031

NPI Registry JSON

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1114322559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E 9 MILE RD STE 1",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480301854",
            "telephone_number": "248-397-8031",
            "fax_number": "248-397-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E 9 MILE RD STE 1",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480301854",
            "telephone_number": "248-397-8031",
            "fax_number": "248-397-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS FIRST PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-28",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "HATTA",
        "authorized_official_first_name": "AMI",
        "authorized_official_middle_name": "ANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-397-8031",
        "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": []
}

Other providers in Hazel Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.