Active Kids Pediatrics, PC
Clinic/Center, Health Services in Phoenix, Arizona
1629325378- 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. The NPI number for Active Kids Pediatrics, PC is 1629325378 and holds license No. A32674 (AZ). The current practice location address is 15215 S 48TH St, Suite 110, Phoenix, AZ 85044-9142 and the office can be reached by phone at 480-783-8960 and by fax at 480-783-8967. The NPI was assigned on August 13, 2012 and the record was last updated in NPPES on August 13, 2012.
●Provider Profile Details
- NPI Number
- 1629325378
- Provider Name
- Active Kids Pediatrics, PC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Clinic/Center, Health Services · 261QH0100X
- Organization Subpart
- No
- Authorized Official
- Dr. Judith Rosch Barnes Clark, MD · Pediatrician, Co-Owner · 480-783-8960
- Enumeration Date
- August 13, 2012
- Last Update Date
- August 13, 2012
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 15215 S 48TH St
Suite 110
Phoenix, AZ 85044-9142 - City
- Phoenix
- State
- Arizona
- ZIP
- 85044-9142
- Country
- US
- Phone Number
- 480-783-8960
- Fax Number
- 480-783-8967
✉Business Mailing Address
- 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
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Clinic/Center, Health Services | 261QH0100X | Yes | A32674 | AZ |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Phoenix →?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) and holds license No. A32674 (AZ).
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 at npiregistry.cms.hhs.gov.