DC Pediatrics Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME93409 Issued in FL

Legal business name

DC PEDIATRICS INC

Practice address

1603 S Hiawassee Rd
Suite 110
Orlando, FL 32835-6438

Phone

(407) 578-8600

NPI assigned

Jan 22, 2015

Organization subpart

No

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

Authorized official

Name

David Crispin Sr., M.D.

Title

President

Phone

(407) 578-8600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1891184271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 S HIAWASSEE RD",
            "address_2": "SUITE 110",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328356438",
            "telephone_number": "407-578-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 S HIAWASSEE RD",
            "address_2": "SUITE 110",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328356438",
            "telephone_number": "407-578-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DC PEDIATRICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "CRISPIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-578-8600",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME93409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003372600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.