Abc Pediatrics

Primary specialty

SpecialistTaxonomy code 174400000X

License

204591 Issued in LA

Legal business name

ABC PEDIATRICS

Practice address

164 Country Club Circle Ste. B
Minden, LA 71055

Phone

(318) 639-9422

Fax

(318) 639-9423

NPI assigned

May 9, 2016

Last updated

Feb 28, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Cristal Kirby, MDNPI 1558529297

Title

Owner

Phone

(318) 639-9422

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.105596

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cristal Chanel Kirby, M.D.

  • Pediatrics Physician
  • Minden, LA
  • NPI 1558529297
  NPD Authorized official
• Ginger A Roberts, NP

  • Pediatric Nurse Practitioner
  • Minden, LA
  • NPI 1164177515
  NPD

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1285080358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 COUNTRY CLUB CIRCLE",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "71055",
            "telephone_number": "318-639-9422",
            "fax_number": "318-639-9423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 COUNTRY CLUB CIRCLE STE. B",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "71055",
            "telephone_number": "318-639-9422",
            "fax_number": "318-639-9423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "CRISTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-639-9422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "204591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Minden, LA
• Providers in Minden, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.