Grand Pediatrics, P.S.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

GRAND PEDIATRICS, P.S.

Practice address

1402 S Grand Blvd
Spokane, WA 99203-5001

Phone

(509) 455-8220

Fax

(509) 455-9172

NPI assigned

Jan 17, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Joseph P Kincaid, MD

Title

Owner

Phone

(509) 455-8220

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1396253910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 S GRAND BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992035001",
            "telephone_number": "509-455-8220",
            "fax_number": "509-455-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 S GRAND BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992035001",
            "telephone_number": "509-455-8220",
            "fax_number": "509-455-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND PEDIATRICS, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "KINCAID",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-455-8220",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

• Rachael Ann Graham, LMP
• Alison Marie Grajkowski, M.D.
• Kalie Grambeau
• Jena Granata
• Mark Granchai
• Kimberly Ann Grandinetti, MD
• Maura Grandison, LMHCA
• Sara Grangroth, AAC
• Tatyana V Grankin
• Brooke Granstrom

• Pediatrics Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Pediatrics Physician in Washington

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