Organization Active NPI

Kidology Enterprises, LLC

  • Developmental Disabilities Clinic/Center
  • Fort Lauderdale, FL
National Provider Identifier
1992380018
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
KIDOLOGY ENTERPRISES, LLC
Practice address
515 E Las Olas Blvd Ste 120
Fort Lauderdale, FL 33301-4261
Phone
(561) 305-4579
NPI assigned
Mar 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Authorized official

Name
Ms. Nicole Anyadike
Title
Ceo
Phone
(561) 305-4579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

515 E Las Olas Blvd Ste 120
Fort Lauderdale, FL 33301-4261

Mailing address

515 E Las Olas Blvd Ste 120
Fort Lauderdale, FL 33301-4261
Phone (561) 305-4579

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1992380018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E LAS OLAS BLVD STE 120",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333014261",
            "telephone_number": "561-305-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E LAS OLAS BLVD STE 120",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333014261",
            "telephone_number": "561-305-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDOLOGY ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "ANYADIKE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-305-4579",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.