Organization Active NPI

Desert Shores Pediatrics

  • Pediatrics Physician
  • Gilbert, AZ
National Provider Identifier
1124386487
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
DESERT SHORES PEDIATRICS
Practice address
6285 S Higley Rd
Gilbert, AZ 85298-4262
Phone
(480) 460-4949
Fax
(480) 460-5858
NPI assigned
Apr 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Authorized official

Name
Dr. Christine Phillips Holmes, MDNPI 1679571285
Title
President
Phone
(480) 460-4949

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 PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

6285 S Higley Rd
Gilbert, AZ 85298-4262

Mailing address

6285 S Higley Rd
Gilbert, AZ 85298-4262
Phone (480) 460-4949

Other practice location 1

965 W Chandler Heights Rd
Chandler, AZ 85248-5724
Phone (480) 460-4949

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
03D1050763Desert Shores Pediatrics, PC6285 S Higley Rd, Gilbert, AZ 85298Certificate of waiverOct 27, 2026
03D1088775Desert Shores Pediatrics, PC965 W Chandler Heights Rd, Chandler, AZ 85248Certificate of waiverOct 27, 2026

National Provider Directory

National Provider Directory

Locations

965 W Chandler Heights Rd
Chandler, AZ 85248
Phone (480) 460-4949

6285 S Higley Rd
Gilbert, AZ 85298
Phone (480) 227-0804

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDGBAA

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594857600000",
    "number": "1124386487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6285 S HIGLEY RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852984262",
            "telephone_number": "480-460-4949",
            "fax_number": "480-460-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6285 S HIGLEY RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852984262",
            "telephone_number": "480-460-4949",
            "fax_number": "480-460-5858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "965 W Chandler Heights Rd",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852485724",
            "country_code": "US",
            "telephone_number": "480-460-4949",
            "fax_number": "480-460-5858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DESERT SHORES PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "PHILLIPS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-460-4949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.