Kids Heart Pediatrics PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

KIDS HEART PEDIATRICS PA

Practice address

12505 Orange Dr Ste 907
Davie, FL 33330-4300

Phone

(954) 579-3916

Fax

(954) 688-7055

NPI assigned

Mar 29, 2021

Organization subpart

No

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

Authorized official

Name

Maria C Serrano, MD

Title

PD

Phone

(954) 510-2060

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1699352153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12505 ORANGE DR STE 907",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304300",
            "telephone_number": "954-579-3916",
            "fax_number": "954-688-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12505 ORANGE DR STE 907",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304300",
            "telephone_number": "954-579-3916",
            "fax_number": "954-688-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS HEART PEDIATRICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "SERRANO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PD",
        "authorized_official_telephone_number": "954-510-2060",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012102200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Almas Khan, O.D.
• Irah Khan
• Shiva Khatami, D.D.S.
• Jeffrey L. Kibler, PHD
• Kids Aboard Therapy, LLC
• Jessica Tova Kiesel, CCC-SLP
• Evren Kilinc, D.D.S, PH.D., M.P.H.
• Ki Beom Kim, DDS, MSD, PHD
• Margaret A. Kim, D.D.S.
• Yeon Jeong Kim

• Pediatrics Physician in Davie, FL
• Providers in Davie, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.