Pediakare

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIAKARE

Practice address

35240 Nankin Blvd
Westland, MI 48185-7218

Phone

(734) 427-3636

Fax

(734) 427-1483

NPI assigned

Feb 8, 2019

Organization subpart

No

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

Authorized official

Name

Devyani Gupta, MDNPI 1326329673

Title

Director

Phone

(248) 808-1299

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Devyani Gupta, MD

  • Pediatrics Physician
  • Westland, MI
  • NPI 1326329673
  NPD Authorized official

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1467917955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3859 FADI DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480841584",
            "telephone_number": "248-808-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35240 NANKIN BLVD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481857218",
            "telephone_number": "734-427-3636",
            "fax_number": "734-427-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIAKARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-08",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "DEVYANI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "248-808-1299",
        "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": []
}

• Shannon Kimberly Payne, ANP-BC
• Pcor LLC
• Pearle Vision Inc
• Pearle Vision Inc
• Pedi Care Pediatric Clinic PC
• Pedicare Pediatric Clinic PC
• Edgard Pedraza, M.D
• Ronay Lashawn Peguies
• Patricia Pennymon
• Haley Michelle Perry

• Pediatrics Physician in Westland, MI
• Providers in Westland, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.