Organization Active NPI

Chilton Pediatrics PC

  • Primary Care Clinic/Center
  • Clanton, AL
National Provider Identifier
1235299777
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
19174 Issued in AL
Legal business name
CHILTON PEDIATRICS PC
Practice address
303 1St St N
Clanton, AL 35045-3418
Phone
(205) 280-3333
Fax
(205) 280-4135
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Herbert Herrera
Title
Office Manager
Phone
(205) 280-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 19174 AL Primary

Addresses

Primary practice location

303 1St St N
Clanton, AL 35045-3418

Mailing address

PO Box 689
Clanton, AL 35046-0689
Phone (205) 280-3333

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235299777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350460689",
            "telephone_number": "205-280-3333",
            "fax_number": "205-280-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 1ST ST N",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350453418",
            "telephone_number": "205-280-3333",
            "fax_number": "205-280-4135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILTON PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "205-280-3333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AL",
            "license": "19174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clanton, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.