Active NPI
Naki Pediatrics & Adolescent
- Pediatric Adolescent Medicine Physician
- Gadsden, AL
National Provider Identifier
1508047697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 8282
- 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, PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Kirya, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529902470 | Medicaid | AL | |
| 51020868 | Other | AL | BCBS |
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.
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Gadsden, AL
- NPI 1992826168
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.