NPIMap

Organization Active NPI

Childen's Community Care

Doing business as Childrens Community Pediatrics

  • Pediatrics Physician
  • Butler, PA
National Provider Identifier
1861084691
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CHILDEN'S COMMUNITY CARE
Doing business as
Childrens Community Pediatrics
Practice address
100 Technology Dr Ste 2
Butler, PA 16001-1792
Phone
(724) 482-2220
Fax
(724) 482-4466
NPI assigned
Feb 3, 2021
Last updated
Sep 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Authorized official

Name
Lori Martinez
Title
Executive Administrator III
Phone
(724) 933-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

100 Technology Dr Ste 2
Butler, PA 16001-1792

Mailing address

103 Bradford Rd Ste 200
Wexford, PA 15090-6910
Phone (724) 933-1100

Other names 1

  • Childrens Community Pediatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Children's Community Pediatrics62 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 23

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 23

Locations

100 Technology Dr
Ste 2
Butler, PA 16001
Phone (724) 482-2220

NPI Registry JSON

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1861084691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 BRADFORD RD STE 200",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150906910",
            "telephone_number": "724-933-1100",
            "fax_number": "724-933-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TECHNOLOGY DR STE 2",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160011792",
            "telephone_number": "724-482-2220",
            "fax_number": "724-482-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDEN'S COMMUNITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR III",
        "authorized_official_telephone_number": "724-933-1100"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Childrens Community Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Childrens Community Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Butler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.