NPIMap

Organization Active NPI

Kidsfirst Pediatrics Prof., PLLC

Doing business as KidsFirst Pediatrics

  • Specialist
  • Lakewood, CO
National Provider Identifier
1265634539
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
KIDSFIRST PEDIATRICS PROF., PLLC
Doing business as
KidsFirst Pediatrics
Practice address
96 Wadsworth Blvd Unit 100
Lakewood, CO 80226-1516
Phone
(303) 239-8327
Fax
(303) 239-9946
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Authorized official

Name
Farah Broomandi
Title
Practice Manager
Phone
(303) 239-8327

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

96 Wadsworth Blvd Unit 100
Lakewood, CO 80226-1516

Mailing address

96 Wadsworth Blvd Unit 100
Lakewood, CO 80226-1516
Phone (303) 239-8327

Other identifiers 1

IdentifierTypeStateIssuer
04021697MedicaidCO

Other names 1

  • KidsFirst Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

96 Wadsworth Blvd
Unit 100
Lakewood, CO 80226
Phone (303) 239-8327

8015 W Alameda Ave
Ste 270
Lakewood, CO 80226
Phone (303) 239-8327

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1265634539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 WADSWORTH BLVD UNIT 100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802261516",
            "telephone_number": "303-239-8327",
            "fax_number": "303-239-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 WADSWORTH BLVD UNIT 100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802261516",
            "telephone_number": "303-239-8327",
            "fax_number": "303-239-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSFIRST PEDIATRICS PROF., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "BROOMANDI",
        "authorized_official_first_name": "FARAH",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "303-239-8327"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04021697",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KidsFirst Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KidsFirst Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.