Complete Care for Kids

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

D0055283 Issued in MD

Legal business name

COMPLETE CARE FOR KIDS

Practice address

19703 Executive Park Cir
Germantown, MD 20874-2639

Phone

(301) 540-5900

NPI assigned

Feb 26, 2007

Last updated

Mar 14, 2013By 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

Miss Kimberly Foster

Title

Office Manager

Phone

(301) 540-5900

Specialties & licenses 2

Addresses

Other identifiers 3

Practitioners 3

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.

• Misha Martin, M.D.

  • Pediatrics Physician
  • Germantown, MD
  • NPI 1124090188
  NPD (past)
• Bonnie Esther Kim, M.D.

  • Pediatrics Physician
  • Dallas, TX
  • NPI 1639380801
  NPD (past)
• Angela Lantang, D.O.

  • General Practice Physician
  • Tripler Army Medical Center, HI
  • NPI 1023258282
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1285760199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19703 EXECUTIVE PARK CIR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742639",
            "telephone_number": "301-540-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19703 EXECUTIVE PARK CIR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742639",
            "telephone_number": "301-540-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE FOR KIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-540-5900",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MD",
            "license": "D0055283",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0057921",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D0069692",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D0055283",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DOO57921",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Comprehensive Sleep Care Center Inc (Comprehensive Sleep Care Center - Germantown)
• Tania Andrea Condarco, MD

• Preferred Provider Organization in Germantown, MD
• Providers in Germantown, MD by specialty
• Preferred Provider Organization in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.