Organization Active NPI

Kids R Great Pediatrics

  • Pediatrics Physician
  • New Albany, IN
National Provider Identifier
1669500823
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01035086 Issued in IN
Legal business name
KIDS R GREAT PEDIATRICS
Practice address
223 W Spring St
New Albany, IN 47150-3612
Phone
(812) 949-1616
Fax
(812) 945-8365
NPI assigned
Mar 1, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Toni Wright
Title
Billing MGR
Phone
(812) 949-1616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01035086 IN Primary

Addresses

Primary practice location

223 W Spring St
New Albany, IN 47150-3612

Mailing address

223 W Spring St
New Albany, IN 47150-3612
Phone (812) 949-1616

Other identifiers 2

IdentifierTypeStateIssuer
01057376OtherINLICENSE
01035086OtherINLICENSE

National Provider Directory

National Provider Directory

Locations

223 W Spring St
New Albany, IN 47150
Phone (812) 949-1616

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669500823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 W SPRING ST",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471503612",
            "telephone_number": "812-949-1616",
            "fax_number": "812-945-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 W SPRING ST",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471503612",
            "telephone_number": "812-949-1616",
            "fax_number": "812-945-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS R GREAT PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "TONI",
        "authorized_official_title_or_position": "BILLING MGR",
        "authorized_official_telephone_number": "812-949-1616"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01035086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "01057376",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "01035086",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

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.