NPIMap

Organization Active NPI

Healthy Kidz Pediatrics LLC

  • Pediatrics Physician
  • Mesa, AZ
National Provider Identifier
1710318019
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
24255 Issued in AZ
Legal business name
HEALTHY KIDZ PEDIATRICS LLC
Practice address
215 S Power Rd
Suite # 106
Mesa, AZ 85206-5235
Phone
(480) 214-0051
Fax
(480) 214-0055
NPI assigned
Dec 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Authorized official

Name
Dr. Ramon Meza Carrasco, M.D.
Title
Administrator
Phone
(602) 628-8064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 24255 AZ Primary

Addresses

Primary practice location

215 S Power Rd
Suite # 106
Mesa, AZ 85206-5235

Mailing address

215 S Power Rd
Suite # 106
Mesa, AZ 85206-5235
Phone (480) 214-0051

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1710318019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S POWER RD",
            "address_2": "SUITE # 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852065235",
            "telephone_number": "480-214-0051",
            "fax_number": "480-214-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S POWER RD",
            "address_2": "SUITE # 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852065235",
            "telephone_number": "480-214-0051",
            "fax_number": "480-214-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY KIDZ PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "CARRASCO",
        "authorized_official_first_name": "RAMON",
        "authorized_official_middle_name": "MEZA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-628-8064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "24255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.