Our Kidz Doc PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

24191 Issued in AZ

Legal business name

OUR KIDZ DOC PLLC

Practice address

3341 W Sheffield Ave
Chandler, AZ 85226-1418

Phone

(480) 220-0900

NPI assigned

Oct 13, 2017

Organization subpart

No

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

Authorized official

Name

Robert Hess Jr.

Title

Ceo

Phone

(480) 220-0900

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507852800000",
    "number": "1851802151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3341 W SHEFFIELD AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852261418",
            "telephone_number": "480-220-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3341 W SHEFFIELD AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852261418",
            "telephone_number": "480-220-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR KIDZ DOC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-13",
        "last_updated": "2017-10-13",
        "status": "A",
        "authorized_official_last_name": "HESS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-220-0900",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "24191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1972572832",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19725",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Stephen Otten, ND
• Kevin H Otteson, DMD
• Jillian Otto, DO
• Steven R Otto, MD, JD
• Kevin Ouellette
• Our Pharmacy
• Ryan Lee Owen, D.O,
• Lamia Owens
• Kirby Oxenreider, LPC
• Oxford Medical Supply LLC

• Pediatrics Physician in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; 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.