Organization Active NPI

Coral Springs Holistic Pediatrics, LLC

  • Pediatrics Physician
  • Coral Springs, FL
National Provider Identifier
1447536487
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CORAL SPRINGS HOLISTIC PEDIATRICS, LLC
Practice address
9750 NW 33Rd St
Suite # 216
Coral Springs, FL 33065-4042
Phone
(954) 752-8446
Fax
(954) 752-8464
NPI assigned
Oct 21, 2011
Last updated
Aug 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Diego Adames
Title
Manager
Phone
(954) 295-3917

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

9750 NW 33Rd St
Suite # 216
Coral Springs, FL 33065-4042

Mailing address

9750 NW 33Rd St
Suite # 216
Coral Springs, FL 33065-4042
Phone (954) 752-8446

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3558/brand/1/csg/1/fhir/r4

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": "1319155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1447536487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9750 NW 33RD ST",
            "address_2": "SUITE # 216",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654042",
            "telephone_number": "954-752-8446",
            "fax_number": "954-752-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 NW 33RD ST",
            "address_2": "SUITE # 216",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654042",
            "telephone_number": "954-752-8446",
            "fax_number": "954-752-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL SPRINGS HOLISTIC PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-21",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "ADAMES",
        "authorized_official_first_name": "DIEGO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-295-3917"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.