Pence Pediatrics, PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PENCE PEDIATRICS, PC

Practice address

10 Rupert St
Monte Vista, CO 81144-1042

Phone

(719) 852-3742

NPI assigned

Oct 1, 2021

Last updated

May 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mikaila Heldt Pence, MDNPI 1215198718

Title

Authorized Official

Phone

(719) 890-7723

Specialties & licenses 1

Addresses

Tax ID family

Pence Pediatrics PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pence Pediatrics, PC

  • Rural Health Clinic/Center
  • Monte Vista, CO
  • NPI 1518677020
  NPD tax ID

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.

• Mikaila Heldt Pence, MD

  • Pediatrics Physician
  • Buena Vista, CO
  • NPI 1215198718
  Authorized official Same address or phone

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1457023111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 RUPERT ST",
            "city": "MONTE VISTA",
            "state": "CO",
            "postal_code": "811441042",
            "telephone_number": "719-852-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 RUPERT ST",
            "city": "MONTE VISTA",
            "state": "CO",
            "postal_code": "811441042",
            "telephone_number": "719-852-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENCE PEDIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-01",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "PENCE",
        "authorized_official_first_name": "MIKAILA",
        "authorized_official_middle_name": "HELDT",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "719-890-7723",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MVPS LLC (Jacks Market Pharmacy)
• Janice Janae Naranjo, LPC
• Michael John Noonan, PA-C
• Terry Glenn Pace Jr., LPCC
• Amelie Mae Pacheco
• Pence Pediatrics, PC
• Purgatory Pharmaceutical Services LLC (Jack's Market Pharmacy)
• Rain Home Care
• Richard D. Santi, D.D.S., P.C.
• RMHG LTD

• Pediatrics Physician in Monte Vista, CO
• Providers in Monte Vista, CO by specialty
• Pediatrics Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.