NPIMap

Organization Active NPI

Good Night Pediatrics East Valley PC

  • Pediatric Adolescent Medicine Physician
  • Gilbert, AZ
National Provider Identifier
1629296249
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
OTC4085 Issued in AZ
Legal business name
GOOD NIGHT PEDIATRICS EAST VALLEY PC
Practice address
1452 N Higley Rd
Gilbert, AZ 85234-1600
Phone
(480) 813-9600
Fax
(480) 813-9601
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Katherine Shick
Title
Director of Business Operations
Phone
(602) 476-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X OTC4085 AZ Primary

Addresses

Primary practice location

1452 N Higley Rd
Gilbert, AZ 85234-1600

Mailing address

1440 E Missouri Ave
Suite 200
Phoenix, AZ 85014-2458
Phone (602) 476-0800

National Provider Directory

National Provider Directory
Tax ID family
Good Night Pediatrics East Valley PC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Ownership & related parties

Subparts reporting this organization as parent 3

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

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629296249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 E MISSOURI AVE",
            "address_2": "SUITE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142458",
            "telephone_number": "602-476-0800",
            "fax_number": "602-476-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1452 N HIGLEY RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852341600",
            "telephone_number": "480-813-9600",
            "fax_number": "480-813-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD NIGHT PEDIATRICS EAST VALLEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHICK",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "602-476-0800"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "AZ",
            "license": "OTC4085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.