Organization Active NPI

Hip Kids Pediatrics PLLC

  • Pediatrics Physician
  • Chandler, AZ
National Provider Identifier
1689110256
Registry record updated Mar 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
HIP KIDS PEDIATRICS PLLC
Practice address
6909 W Ray Rd Ste 9
Chandler, AZ 85226-1526
Phone
(480) 447-9490
Fax
(480) 800-3609
NPI assigned
Jan 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2017

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

Authorized official

Name
Dr. Amy M Guzek, M.D.NPI 1164756995
Title
Physician Co-Owner
Phone
(602) 684-1562

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

6909 W Ray Rd Ste 9
Chandler, AZ 85226-1526

Mailing address

6909 W Ray Rd Ste 9
Chandler, AZ 85226-1526
Phone (480) 447-9490

Other identifiers 2

IdentifierTypeStateIssuer
866105001MedicaidAZ
738773MedicaidAZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2126486Hip Kids Pediatrics6909 W Ray Rd #9, Chandler, AZ 85226Certificate of waiverFeb 27, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1483660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490400000000",
    "number": "1689110256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6909 W RAY RD STE 9",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852261526",
            "telephone_number": "480-447-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6909 W RAY RD STE 9",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852261526",
            "telephone_number": "480-447-9490",
            "fax_number": "480-800-3609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIP KIDS PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-06",
        "last_updated": "2017-03-25",
        "status": "A",
        "authorized_official_last_name": "GUZEK",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN CO-OWNER",
        "authorized_official_telephone_number": "602-684-1562",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "866105001",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "738773",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.