Pediatrics West, P.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PEDIATRICS WEST, P.C.

Practice address

13402 W Coal Mine Ave Ste 200
Littleton, CO 80127-5407

Phone

(720) 284-3700

NPI assigned

Jun 12, 2020

Last updated

Jun 12, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

PEDIATRICS WEST, P.C.As reported in NPPES

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

Authorized official

Name

Mr. Tym C Johnson, MBA

Title

Practice Administrator

Phone

(720) 284-3700

Specialties & licenses 1

Addresses

Tax ID family

Pediatrics West PC2 organizations share this tax ID, including this one

Part of

Pediatrics West PC

Other organizations with this tax ID 1

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

• Pediatrics West, P.C.

  • Primary Care Clinic/Center
  • Wheat Ridge, CO
  • NPI 1275559569
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Pediatrics West, P.C.

  • Primary Care Clinic/Center
  • Wheat Ridge, CO
  • NPI 1275559569
  NPPES parent name

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591920000000",
    "number": "1518582865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 LUTHERAN PKWY STE 200",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336027",
            "telephone_number": "720-284-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13402 W COAL MINE AVE STE 200",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801275407",
            "telephone_number": "720-284-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICS WEST, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEDIATRICS WEST, P.C.",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TYM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "720-284-3700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Littleton, CO
• Providers in Littleton, CO by specialty
• Primary Care Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.