NPIMap

Organization Active NPI

Robins Nest Pediatrics, PLLC

  • Specialist
  • Show Low, AZ
National Provider Identifier
1821326224
Registry record updated Nov 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4074 Issued in AZ
Legal business name
ROBINS NEST PEDIATRICS, PLLC
Practice address
5171 Cub Lake Rd
Ste B280
Show Low, AZ 85901-7888
Phone
(928) 537-3222
Fax
(928) 527-8215
NPI assigned
Nov 23, 2009
Last updated
Nov 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2009

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

Authorized official

Name
Robin Broz, DO
Title
Physician
Phone
(928) 537-3222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 4074 AZ Primary

Addresses

Primary practice location

5171 Cub Lake Rd
Ste B280
Show Low, AZ 85901-7888

Mailing address

PO Box 236
Lakeside, AZ 85929-0236

National Provider Directory

National Provider Directory
Tax ID family
Robin's Nest Pediatrics2 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.

NPI Registry JSON

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1821326224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "859290236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5171 CUB LAKE RD",
            "address_2": "STE B280",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017888",
            "telephone_number": "928-537-3222",
            "fax_number": "928-527-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBINS NEST PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-23",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "BROZ",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "928-537-3222",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "4074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.