Active NPI
Kids Choice Pediatrics, PA
- Pediatrics Physician
- Greenville, SC
National Provider Identifier
1760043095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- KIDS CHOICE PEDIATRICS, PA
- Practice address
- 58 Bear Dr
Greenville, SC 29605-4458 - Phone
- (864) 918-7209
- NPI assigned
- Jun 26, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ritu Chadha
- Title
- Practice Manager
- Phone
- (864) 918-7209
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
58 Bear Dr
Greenville, SC 29605-4458
Mailing address
58 Bear Dr
Greenville, SC 29605-4458
Phone (864) 918-7209
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2175188 | Kids Choice Pediatrics, PA | Certificate of waiver | Nov 17, 2027 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/20057/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Greenville, SC
- NPI 1669613501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1561507200000",
"number": "1760043095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 BEAR DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054458",
"telephone_number": "864-918-7209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 BEAR DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054458",
"telephone_number": "864-918-7209"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDS CHOICE PEDIATRICS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-26",
"last_updated": "2019-06-26",
"status": "A",
"authorized_official_last_name": "CHADHA",
"authorized_official_first_name": "RITU",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "864-918-7209"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.