Organization Active NPI

Pure Joy Pediatrics LLC

  • Pediatrics Physician
  • King City, OR
National Provider Identifier
1376265256
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PURE JOY PEDIATRICS LLC
Practice address
15405 SW 116TH Ave Ste 116
King City, OR 97224-2600
Phone
(503) 420-8667
Fax
(971) 512-3246
NPI assigned
Sep 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Authorized official

Name
Kirin N Palmer, MDNPI 1851558563
Title
Physician/Owner
Phone
(503) 420-8667

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

15405 SW 116TH Ave Ste 116
King City, OR 97224-2600

Mailing address

355 NW Orchard Dr
Portland, OR 97229-6256
Phone (503) 420-8667

National Provider Directory

National Provider Directory

Locations

20110 SW Alexander St
Beaverton, OR 97003
Phone (503) 649-5257

15405 SW 116th Ave
Ste 116
Tigard, OR 97224
Phone (503) 420-8667

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1376265256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 NW ORCHARD DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972296256",
            "telephone_number": "503-420-8667",
            "fax_number": "971-512-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15405 SW 116TH AVE STE 116",
            "city": "KING CITY",
            "state": "OR",
            "postal_code": "972242600",
            "telephone_number": "503-420-8667",
            "fax_number": "971-512-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE JOY PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "KIRIN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "503-420-8667",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.