Organization Active NPI

Kidshealth Pediatrics PLLC

  • Pediatrics Physician
  • Scottsdale, AZ
National Provider Identifier
1508931593
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
KIDSHEALTH PEDIATRICS PLLC
Practice address
5425 E Bell Rd
Scottsdale, AZ 85254-6007
Phone
(602) 374-3396
Fax
(602) 374-3177
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Authorized official

Name
Maria L. Mariano-Nabong, M.D.
Title
Physician
Phone
(480) 390-0395

Specialties & licenses 1

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

Addresses

Primary practice location

5425 E Bell Rd
Scottsdale, AZ 85254-6007

Mailing address

5425 E Bell Rd
Scottsdale, AZ 85254-6007
Phone (602) 374-3396

Other identifiers 1

IdentifierTypeStateIssuer
329584MedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
Kidshealth Pediatrics PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5425 E Bell Rd
Ste B1
Scottsdale, AZ 85254

5425 E Bell Rd
Ste 131
Scottsdale, AZ 85254
Phone (602) 374-3396

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1508931593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 E BELL RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546007",
            "telephone_number": "602-374-3396",
            "fax_number": "602-374-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 E BELL RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546007",
            "telephone_number": "602-374-3396",
            "fax_number": "602-374-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSHEALTH PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "MARIANO-NABONG",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "480-390-0395",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "329584",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.