NPIMap

Organization Active NPI

The Childrens Center LLC

Doing business as Childrens Center For Gastroenterology & Nutrition

  • Pediatric Gastroenterology Physician
  • Lake Mary, FL
National Provider Identifier
1902063456
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
ME66349 Issued in FL
Legal business name
THE CHILDRENS CENTER LLC
Doing business as
Childrens Center For Gastroenterology & Nutrition
Practice address
719 Rodel CV
Suite 2001
Lake Mary, FL 32746-5716
Phone
(407) 351-0804
Fax
(321) 203-4605
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Authorized official

Name
Dennis J. Buhring
Title
President
Phone
(407) 649-7401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0206X ME66349 FL Primary

Addresses

Primary practice location

719 Rodel CV
Suite 2001
Lake Mary, FL 32746-5716

Mailing address

PO Box 522468
Longwood, FL 32752-2468
Phone (407) 389-5300

Other identifiers 2

IdentifierTypeStateIssuer
25816OtherFLBCBSFL
5223945015OtherFLCIGNA HMO

Other names 1

  • Childrens Center For Gastroenterology & Nutrition Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Childrens Center for Gastroenterology Nutrition2 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": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1902063456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 522468",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327522468",
            "telephone_number": "407-389-5300",
            "fax_number": "407-389-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 RODEL CV",
            "address_2": "SUITE 2001",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465716",
            "telephone_number": "407-351-0804",
            "fax_number": "321-203-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHILDRENS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "BUHRING",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-649-7401"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "FL",
            "license": "ME66349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "25816",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HMO",
            "identifier": "5223945015",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Childrens Center For Gastroenterology & Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; 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.