- Practice location
- 15215 S 48TH St, Suite 110, Phoenix, AZ 85044-9142
- Phone
- 480-783-8960
- Fax
- 480-783-8967
- Last updated
- August 13, 2012
Active Kids Pediatrics, PC is a healthcare organization based in Phoenix, AZ. Active Kids Pediatrics, PC practices in Phoenix, AZ. The NPI Number for Active Kids Pediatrics, PC is 1629325378 and holds a License No. A32674 (AZ). The current practice location address for Active Kids Pediatrics, PC is 15215 S 48TH St, Suite 110, Phoenix, AZ 85044-9142 and can be reached out via phone at 480-783-8960 and via fax at 480-783-8967.
Provider Profile Details
- NPI Number
- 1629325378
- Provider Name
- Active Kids Pediatrics, PC
- Provider Entity Type
- Organization
- Address
- 15215 S 48TH St, Suite 110, Phoenix, AZ 85044-9142
- Phone Number
- 480-783-8960
- Fax Number
- 480-783-8967
- Primary Taxonomy
- Clinic/Center, Health Services · 261QH0100X
- Organization Subpart
- No
- Authorized Official
- Dr. Judith Rosch Barnes Clark, MD · Pediatrician, Co-Owner · 480-783-8960
- Provider Enumeration Date
- August 13, 2012
- Last Update Date
- August 13, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15215 S 48TH St
Suite 110
Phoenix, AZ 85044-9142 - City
- Phoenix
- State
- Arizona
- Zip
- 85044-9142
- Phone Number
- 480-783-8960
- Fax Number
- 480-783-8967
Provider Business Mailing Address Details
- Address
- 15215 S 48TH St
Suite 110
Phoenix, AZ 85044-9142 - City
- Phoenix
- State
- AZ
- Zip
- 85044-9142
- Phone Number
- 480-783-8960
- Fax Number
- 480-783-8967
License Information
- License Number
- A32674
- License State
- AZ
- Taxonomy
- Clinic/Center, Health Services · 261QH0100X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Active Kids Pediatrics, PC?
The NPI number of Active Kids Pediatrics, PC is 1629325378. It was assigned on August 13, 2012 and is currently active in the NPPES registry.
What is the specialty of Active Kids Pediatrics, PC?
Active Kids Pediatrics, PC is registered under the primary taxonomy Clinic/Center, Health Services (code 261QH0100X), licensed in AZ under license number A32674.
Where does Active Kids Pediatrics, PC practice?
The practice location is 15215 S 48TH St, Suite 110, Phoenix, AZ 85044-9142. The office can be reached at 480-783-8960 (phone) or 480-783-8967 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629325378 directly on the NPPES registry website.