Happy Kids Pediatrics

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

HAPPY KIDS PEDIATRICS

Doing business as

Happy Kids Pediatrics Laboratory

Practice address

1345 E Main St Ste 112
Mesa, AZ 85203-8961

Phone

(480) 590-1268

NPI assigned

Sep 1, 2021

Last updated

Sep 1, 2021By 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

Makesha Fuqua

Title

Revenue Cycle Director

Phone

(480) 687-0418

Specialties & licenses 1

Addresses

Other names 1

• Happy Kids Pediatrics Laboratory Doing business as

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Happy Kids Pediatrics P.C.

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1619615846
  NPPES parent name

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1366110561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 E MAIN ST STE 100",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 E MAIN ST STE 112",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038961",
            "telephone_number": "480-590-1268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAPPY KIDS PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "FUQUA",
        "authorized_official_first_name": "MAKESHA",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "480-687-0418"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Happy Kids Pediatrics Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Hanson, RN
• Kathleen Gail Hanson, M.S., OTR/L
• Lois Hanson, RN
• Renee Christine Hanson, O.D.
• Travis C Hanson, DO
• Happy Kids Pediatrics P.C.
• Happy Kids Pediatrics P.C.
• Happy Kids Pediatrics, P.C.
• Happy Molar Dental LLC
• Happy Ride Inc

• Clinical Medical Laboratory in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Clinical Medical Laboratory in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.