Pure Joy Pediatrics, P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301088258 Issued in MI

Legal business name

PURE JOY PEDIATRICS, P.C.

Practice address

36880 Woodward Ave
Suite 101
Bloomfield Hills, MI 48304-0919

Phone

(248) 220-2384

Fax

(248) 630-2627

NPI assigned

Dec 14, 2009

Organization subpart

No

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

Authorized official

Name

Dr. La Donna J. Hendricks, M.D.

Title

President

Phone

(248) 421-9706

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1437488921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36880 WOODWARD AVE",
            "address_2": "SUITE 101",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040919",
            "telephone_number": "248-220-2384",
            "fax_number": "248-630-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36880 WOODWARD AVE",
            "address_2": "SUITE 101",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040919",
            "telephone_number": "248-220-2384",
            "fax_number": "248-630-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE JOY PEDIATRICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-14",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "LA DONNA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-421-9706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301088258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952509838",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.