Organization Active NPI

Naki Pediatrics & Adolescent

  • Pediatric Adolescent Medicine Physician
  • Gadsden, AL
National Provider Identifier
1508047697
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
8282 Issued in AL
Legal business name
NAKI PEDIATRICS & ADOLESCENT
Practice address
410 Bay St
Gadsden, AL 35901-5108
Phone
(256) 543-0111
Fax
(256) 543-2907
NPI assigned
Nov 17, 2007
Organization subpart
Yes
Parent organization
NAKI PEDIATRICS & ADOLESCENT HEALTH CENTER, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Christopher Kirya, MDNPI 1992826168
Title
President
Phone
(256) 543-0111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X 8282 AL Primary

Addresses

Primary practice location

410 Bay St
Gadsden, AL 35901-5108

Mailing address

410 Bay St
Naki Pediatrics & Adolescent Health Center, PC
Gadsden, AL 35901-0000
Phone (256) 543-0111

Other identifiers 2

IdentifierTypeStateIssuer
529902470MedicaidAL
51020868OtherALBCBS

National Provider Directory

National Provider Directory
Part of
Naki Pediatrics Adolescent

Locations

410 Bay St
Gadsden, AL 35901
Phone (256) 543-0111

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": "1195257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1508047697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 BAY ST",
            "address_2": "NAKI PEDIATRICS & ADOLESCENT HEALTH CENTER, PC",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359010000",
            "telephone_number": "256-543-0111",
            "fax_number": "256-543-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 BAY ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015108",
            "telephone_number": "256-543-0111",
            "fax_number": "256-543-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAKI PEDIATRICS & ADOLESCENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NAKI PEDIATRICS & ADOLESCENT HEALTH CENTER, PC",
        "enumeration_date": "2007-11-17",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "KIRYA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-543-0111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "AL",
            "license": "8282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529902470",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51020868",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.