NPIMap

Organization Active NPI

Drozdow Children'S Healthcare Services of Nevada, P.C.

  • Pediatrics Physician
  • Reno, NV
National Provider Identifier
1376201616
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
DROZDOW CHILDREN'S HEALTHCARE SERVICES OF NEVADA, P.C.
Practice address
625 Innovation Dr
Reno, NV 89511-2215
Phone
(775) 331-7000
NPI assigned
Dec 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Authorized official

Name
Marya Prado
Title
Officer
Phone
(719) 237-4863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

625 Innovation Dr
Reno, NV 89511-2215

Mailing address

5565 Centerview Dr Ste 107
Raleigh, NC 27606-3563

National Provider Directory

National Provider Directory
Tax ID family
Drozdow Children'S Healthcare Services of Nevada PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638489600000",
    "number": "1376201616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 CENTERVIEW DR STE 107",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276063563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 INNOVATION DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112215",
            "telephone_number": "775-331-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DROZDOW CHILDREN'S HEALTHCARE SERVICES OF NEVADA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-03",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A",
        "authorized_official_last_name": "PRADO",
        "authorized_official_first_name": "MARYA",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "719-237-4863"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.