Organization Active NPI

Kids Connection Pediatrics

  • Specialist
  • Phoenix, AZ
National Provider Identifier
1356512818
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
26155 Issued in AZ
Legal business name
KIDS CONNECTION PEDIATRICS
Practice address
3811 E Bell Rd.
Suite 110
Phoenix, AZ 85032
Phone
(602) 404-2020
Fax
(602) 404-2268
NPI assigned
Mar 12, 2008
Organization subpart
Yes
Parent organization
KIDS CONNECTION PEDIATRICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 17, 2011

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

Authorized official

Name
Dr. Kara Tiffany, MD
Title
President
Phone
(602) 404-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 26155 AZ Primary

Addresses

Primary practice location

3811 E Bell Rd.
Suite 110
Phoenix, AZ 85032

Mailing address

3811 E. Bell Rd.
Suite 110
Phoenix, AZ 85032
Phone (602) 404-2020

National Provider Directory

National Provider Directory
Part of
Kids Connection Pediatrics

Locations

3815 E Bell Rd
Ste 2700
Phoenix, AZ 85032
Phone (602) 714-6970

3811 E Bell Rd
Ste 110
Phoenix, AZ 85032
Phone (602) 788-7211

NPI Registry JSON

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1356512818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 E. BELL RD.",
            "address_2": "SUITE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85032",
            "telephone_number": "602-404-2020",
            "fax_number": "602-404-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 E BELL RD.",
            "address_2": "SUITE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85032",
            "telephone_number": "602-404-2020",
            "fax_number": "602-404-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS CONNECTION PEDIATRICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KIDS CONNECTION PEDIATRICS",
        "enumeration_date": "2008-03-12",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "TIFFANY",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-404-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "26155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.