NPIMap

Organization Active NPI

Allkids Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Mesa, AZ
National Provider Identifier
1811098221
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
OTC3975 Issued in AZ
Legal business name
ALLKIDS URGENT CARE, LLC
Practice address
1455 S Stapley Dr Ste 1
Mesa, AZ 85204
Phone
(480) 633-1111
Fax
(480) 633-6611
NPI assigned
Sep 26, 2006
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
Dean Stephen Mousser, MDNPI 1770561656
Title
Owner
Phone
(480) 832-0480

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
Urgent Care Clinic/Center 261QU0200X OTC3975 AZ Primary

Addresses

Primary practice location

1455 S Stapley Dr Ste 1
Mesa, AZ 85204

Mailing address

1455 S Stapley Dr Ste 1
Mesa, AZ 85204-5850
Phone (480) 633-1111

Other practice location 1

1430 N Cooper Rd
Suite #101
Gilbert, AZ 85233
Phone (480) 633-1111

Other practice location 2

1455 S Stapley Dr Ste 1
Mesa, AZ 85204
Phone (480) 633-1111

Other identifiers 1

IdentifierTypeStateIssuer
089823MedicaidAZ

Other names 1

  • AllKids Urgent Care - Stapley Other name

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
03D2068747Allkids Urgent Care1455 S Stapley Dr, Suite 1, Mesa, AZ 85204Certificate of waiverJul 8, 2028

National Provider Directory

National Provider Directory
Tax ID family
Allkids Urgent Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1430 N Cooper Rd
Ste 101
Gilbert, AZ 85233
Phone (480) 633-1111

1455 S Stapley Dr
Ste 1
Mesa, AZ 85204
Phone (480) 633-1111

1455 S Stapley Dr
Mesa, AZ 85204

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545868800000",
    "number": "1811098221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 S STAPLEY DR STE 1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045850",
            "telephone_number": "480-633-1111",
            "fax_number": "480-633-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 S STAPLEY DR STE 1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85204",
            "telephone_number": "480-633-1111",
            "fax_number": "480-633-6611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1430 N Cooper Rd",
            "address_2": "Suite #101",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "85233",
            "country_code": "US",
            "telephone_number": "480-633-1111",
            "fax_number": "480-633-6611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1455 S Stapley Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "85204",
            "country_code": "US",
            "telephone_number": "480-633-1111",
            "fax_number": "480-633-6611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLKIDS URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2018-12-27",
        "status": "A",
        "authorized_official_last_name": "MOUSSER",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-832-0480",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "AZ",
            "license": "OTC3975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089823",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AllKids Urgent Care - Stapley",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 27, 2018; 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.