Kids Pediatric and Adolescent Care

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

13860 Issued in OK

Legal business name

KIDS PEDIATRIC AND ADOLESCENT CARE

Practice address

7711 E 111TH St
Suite 111
Tulsa, OK 74133-2570

Phone

(918) 394-5437

NPI assigned

May 20, 2008

Organization subpart

No

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

Authorized official

Name

John C Knippers, M.D.

Title

Physician/Owner

Phone

(918) 394-5437

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1285891945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7711 E 111TH ST",
            "address_2": "SUITE 111",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741332570",
            "telephone_number": "918-394-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7711 E 111TH ST",
            "address_2": "SUITE 111",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741332570",
            "telephone_number": "918-394-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS PEDIATRIC AND ADOLESCENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "KNIPPERS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "918-394-5437",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "OK",
            "license": "13860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethan Shane Kidd
• Alexia Faye Kidder, DO
• Skyler Kristine Kiddy
• Kids Dental
• Kids Health Care PC
• Kids Pediatric Care LLC
• Alysha Kieck, COTA/L
• Mark Adrain Kiefer, MD
• Jessica Bliss Kiehl
• Natalija Kielhorn, CNP

• Pediatric Adolescent Medicine Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Pediatric Adolescent Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.