Children'S Doctor, PC

Primary specialty

Children's HospitalTaxonomy code 282NC2000X

Legal business name

CHILDREN'S DOCTOR, PC

Practice address

1728 W Glendale Ave
Suite #102
Phoenix, AZ 85021-8860

Phone

(602) 864-0211

Fax

(602) 864-9392

NPI assigned

Jul 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Keramat Behshad, 20101

Title

President

Phone

(602) 864-0211

Specialties & licenses 1

Addresses

Tax ID family

Children'S Doctor 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.

• Children'S Doctor, P.C.

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1841287836
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Brousseau, M.D.

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1801885777
  NPD

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457559486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 W GLENDALE AVE",
            "address_2": "SUITE #102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850218860",
            "telephone_number": "602-864-0211",
            "fax_number": "602-864-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 W GLENDALE AVE",
            "address_2": "SUITE #102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850218860",
            "telephone_number": "602-864-0211",
            "fax_number": "602-864-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DOCTOR, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEHSHAD",
        "authorized_official_first_name": "KERAMAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-864-0211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "20101"
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon M Childers, RN, BSN
• Childhelp Childrens Center of Arizona
• Childhelp, Inc.
• Children'S Brain Academy
• Children'S Doctor, P.C.
• Children'S Lung and Sleep Specialists PA
• Children'S Medicaid Dental Clinic, PC
• Children'S Therapy Specialists
• Childrens Critical Care Associates, P.C.
• Haley R Childress, RN

• Children's Hospital in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Children's Hospital in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.