Kids Interactive Developmental Services LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

KIDS INTERACTIVE DEVELOPMENTAL SERVICES LLC

Practice address

1154 Belmont CT
Concord, NC 28027-8666

Phone

(704) 224-3687

Fax

(704) 785-8096

NPI assigned

Jul 5, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Pamela RaganNPI 1316086457

Title

Owner

Phone

(704) 224-3687

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Pamela Ragan, QP ITFS

  • Specialist
  • Concord, NC
  • NPI 1316086457
  NPD (past) Authorized official

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1326246950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1154 BELMONT CT",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280278666",
            "telephone_number": "704-224-3687",
            "fax_number": "704-785-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1154 BELMONT CT",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280278666",
            "telephone_number": "704-224-3687",
            "fax_number": "704-785-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS INTERACTIVE DEVELOPMENTAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "RAGAN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-224-3687",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": "8301595",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trenia R. Keys, FNP-C
• Salman Ali Khan, MD
• George Khouri
• Amy Kiatthanapaiboon, DO
• Kids Connect Therapy, LLC
• Kids on Clouds LLC
• Julie Killion
• Casey Killough, PHARMD
• Mena Killough, LMBT
• Sarah Liebman Kilmer, PHD

• Specialist in Concord, NC
• Providers in Concord, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.