Organization Active NPI

Kids Kare Pediatrics

  • Pediatrics Physician
  • Phoenix, AZ
National Provider Identifier
1457697104
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
KIDS KARE PEDIATRICS
Practice address
521 W Thomas Rd FL 2
Phoenix, AZ 85013-4241
Phone
(602) 845-3192
Fax
(602) 252-2644
NPI assigned
Dec 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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

Authorized official

Name
Carlos Lopez, MD
Title
Owner
Phone
(602) 845-3192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

521 W Thomas Rd FL 2
Phoenix, AZ 85013-4241

Mailing address

521 W Thomas Rd FL 2
Phoenix, AZ 85013-4241
Phone (602) 845-3192

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356652800000",
    "number": "1457697104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 W THOMAS RD FL 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134241",
            "telephone_number": "602-845-3192",
            "fax_number": "602-252-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 W THOMAS RD FL 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134241",
            "telephone_number": "602-845-3192",
            "fax_number": "602-252-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS KARE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-28",
        "last_updated": "2012-12-28",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-845-3192",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.