Organization Active NPI

Kids Care, P.C.

  • Specialist
  • Lawrenceburg, IN
National Provider Identifier
1386762250
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
01042855 Issued in IN
Legal business name
KIDS CARE, P.C.
Practice address
202 Walnut St
Lawrenceburg, IN 47025-1840
Phone
(812) 539-2142
Fax
(812) 539-3920
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

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

Authorized official

Name
Dr. Bashar M Bouso, M.D,NPI 1609883727
Title
Owner
Phone
(812) 539-2142

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 01042855 IN Primary

Addresses

Primary practice location

202 Walnut St
Lawrenceburg, IN 47025-1840

Mailing address

202 Walnut St
Lawrenceburg, IN 47025-1840
Phone (812) 539-2142

Other identifiers 1

IdentifierTypeStateIssuer
100464610MedicaidIN

National Provider Directory

National Provider Directory
Tax ID family
Kids Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

202 Walnut St
Lawrenceburg, IN 47025
Phone (812) 539-2142

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537142400000",
    "number": "1386762250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 WALNUT ST",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470251840",
            "telephone_number": "812-539-2142",
            "fax_number": "812-539-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 WALNUT ST",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470251840",
            "telephone_number": "812-539-2142",
            "fax_number": "812-539-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2018-09-17",
        "status": "A",
        "authorized_official_last_name": "BOUSO",
        "authorized_official_first_name": "BASHAR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-539-2142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": "01042855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100464610",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; 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.