Kipp Dubois Charter School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

KIPP DUBOIS CHARTER SCHOOL

Practice address

5070 Parkside Ave
Philadelphia, PA 19131-4747

Phone

(215) 307-3465

Fax

(215) 307-3271

NPI assigned

Jul 22, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Aaron Bass

Title

Chief Executive Officer

Phone

(267) 249-6089

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440633600000",
    "number": "1629453535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BALTIMORE AVE RM 206",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191433129",
            "telephone_number": "215-307-3465",
            "fax_number": "215-307-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5070 PARKSIDE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191314747",
            "telephone_number": "215-307-3465",
            "fax_number": "215-307-3271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIPP DUBOIS CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-08-27",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "267-249-6089",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Dene Kinsler
• Sara B Kinsman, M.D.
• Michael Stephen Kinson Jr., MD
• Natalia Kiperman, AUD., CCC-A
• Carie Kipnis, LCSW
• Kipp Philadelphia Charter School
• Kipp West Philadelphia Charter School
• Kipp West Philadelphia Prep Charter School
• Kristina Marie Kipp, PHARM.D.
• Akshatha Kiran, MD

• Local Education Agency (LEA) in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Local Education Agency (LEA) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.