NPIMap

Organization Active NPI

Aggie Pediatrics, LLC

Doing business as The Children's Health Place

  • Pediatrics Physician
  • Greeley, CO
National Provider Identifier
1710459045
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
AGGIE PEDIATRICS, LLC
Doing business as
The Children's Health Place
Practice address
1610 29TH Avenue PL Ste 101
Greeley, CO 80634-6800
Phone
(970) 356-2600
Fax
(970) 356-2633
NPI assigned
Dec 27, 2018
Last updated
Dec 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2018

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

Authorized official

Name
Mr. Abe Herrera Jr.
Title
President
Phone
(970) 356-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

1610 29TH Avenue PL Ste 101
Greeley, CO 80634-6800

Mailing address

1610 29TH Avenue PL Ste 101
Greeley, CO 80634-6800
Phone (970) 356-2600

Other identifiers 1

IdentifierTypeStateIssuer
01324128MedicaidCO

Other names 1

  • The Children's Health Place Doing business as

National Provider Directory

National Provider Directory

Locations

1610 29th Avenue Pl
Ste 101
Greeley, CO 80634
Phone (970) 352-3822

3705 W 12th St
Greeley, CO 80634
Phone (970) 356-2605

Practitioners & affiliated clinicians

Practitioners 6

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": "1545868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545868800000",
    "number": "1710459045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 29TH AVENUE PL STE 101",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806346800",
            "telephone_number": "970-356-2600",
            "fax_number": "970-356-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 29TH AVENUE PL STE 101",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806346800",
            "telephone_number": "970-356-2600",
            "fax_number": "970-356-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGGIE PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-27",
        "last_updated": "2018-12-27",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "ABE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-356-2600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01324128",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Children's Health Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; 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.