Organization Active NPI

Rainbow Kids Pediatrics

  • Pediatrics Physician
  • Ste Genevieve, MO
National Provider Identifier
1396123071
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
105937 Issued in MO
Legal business name
RAINBOW KIDS PEDIATRICS
Practice address
930 Park Dr
Lower Level
Ste Genevieve, MO 63670-1539
Phone
(573) 517-0999
NPI assigned
May 13, 2015
Last updated
May 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Authorized official

Name
Dr. Bhargav Kanani, M.D.NPI 1598738692
Title
Manager
Phone
(314) 805-4467

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
Pediatrics Physician 208000000X 105937 MO Primary

Addresses

Primary practice location

930 Park Dr
Lower Level
Ste Genevieve, MO 63670-1539

Mailing address

210 Hospital LN
Perryville, MO 63775-1276
Phone (573) 517-0999

National Provider Directory

National Provider Directory

Locations

930 Park Dr
Lowr
Ste Genevieve, MO 63670
Phone (573) 517-0999

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": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1396123071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 HOSPITAL LN",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637751276",
            "telephone_number": "573-517-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 PARK DR",
            "address_2": "LOWER LEVEL",
            "city": "STE GENEVIEVE",
            "state": "MO",
            "postal_code": "636701539",
            "telephone_number": "573-517-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW KIDS PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "KANANI",
        "authorized_official_first_name": "BHARGAV",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-805-4467",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "105937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ste Genevieve, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.