Kieborz PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3836 Issued in AZ

Legal business name

KIEBORZ PLLC

Practice address

3303 S Lindsay Rd Ste 123
Gilbert, AZ 85297-2100

Phone

(480) 821-9339

Fax

(480) 821-9555

NPI assigned

Sep 15, 2009

Organization subpart

No

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

Authorized official

Name

Timothy J Kieborz, DONPI 1629010202

Title

Owner

Phone

(480) 821-9555

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 2

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

• Timothy Kieborz, DO

  • Family Medicine Physician
  • Gilbert, AZ
  • NPI 1629010202
  Medicare reassignment NPD Authorized official
• Wendy S Gilbertson, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1215374509
  NPD (past)

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1962735449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6722 N 10TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850131008",
            "telephone_number": "602-251-8714",
            "fax_number": "602-251-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 S LINDSAY RD STE 123",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852972100",
            "telephone_number": "480-821-9339",
            "fax_number": "480-821-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIEBORZ PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-15",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "KIEBORZ",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-821-9555",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "3836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "461660",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seol Ki, LCSW
• Denise Kiburi, LPC
• Kidiatric Dentistry, PLLC
• Kids Therapy
• Kidspeech Therapy, LLC
• Timothy Kieborz, DO
• Allyson Kiefer
• Jacqueline Kienholz, PA
• Lauren Alexa Kiermayr
• Tricia A Kiernan, OTR

• Family Medicine Physician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.