NPIMap

Organization Active NPI

Boriboon Pediatrics

  • Pediatric Adolescent Medicine Physician
  • Dearborn, MI
National Provider Identifier
1932313798
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
BORIBOON PEDIATRICS
Practice address
3850 Pelham St
Dearborn, MI 48124-3832
Phone
(313) 562-9500
Fax
(313) 562-7567
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Authorized official

Name
Dr. Kingkhan Boriboon, M.D.NPI 1023103025
Title
Medical Doctor
Phone
(313) 562-9500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X MI Primary

Addresses

Primary practice location

3850 Pelham St
Dearborn, MI 48124-3832

Mailing address

3850 Pelham St
Dearborn, MI 48124-3832
Phone (313) 562-9500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1932313798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 PELHAM ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243832",
            "telephone_number": "313-562-9500",
            "fax_number": "313-562-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 PELHAM ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243832",
            "telephone_number": "313-562-9500",
            "fax_number": "313-562-7567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORIBOON PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "BORIBOON",
        "authorized_official_first_name": "KINGKHAN",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "313-562-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.