Organization Active NPI

Kids First Pediatrics, LTD

  • Primary Care Clinic/Center
  • Lakeville, MN
National Provider Identifier
1447562491
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
1653778 Issued in MN
Legal business name
KIDS FIRST PEDIATRICS, LTD
Practice address
17504 Dodd Blvd
Lakeville, MN 55044-5268
Phone
(952) 997-2572
Fax
(952) 997-2592
NPI assigned
Jul 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Authorized official

Name
Clifford L Wu, MD
Title
President
Phone
(952) 997-2572

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 1653778 MN Primary

Addresses

Primary practice location

17504 Dodd Blvd
Lakeville, MN 55044-5268

Mailing address

17504 Dodd Blvd
Lakeville, MN 55044-5268
Phone (952) 997-2572

National Provider Directory

National Provider Directory

Locations

17504 Dodd Blvd
Lakeville, MN 55044
Phone (952) 997-2572

NPI Registry JSON

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

{
    "created_epoch": "1278460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278460800000",
    "number": "1447562491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17504 DODD BLVD",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550445268",
            "telephone_number": "952-997-2572",
            "fax_number": "952-997-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17504 DODD BLVD",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550445268",
            "telephone_number": "952-997-2572",
            "fax_number": "952-997-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS FIRST PEDIATRICS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-07",
        "last_updated": "2010-07-07",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-997-2572",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MN",
            "license": "1653778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; 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.