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HAPPY KIDS PEDIATRICS P.C. NPI 1083805030


NPI Information

NPI: 1083805030
Provider Name: HAPPY KIDS PEDIATRICS P.C.

Other Name: CRISMON/HAPPY KIDS PEDIATRICS, P.C.

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 03D2008578

Address:
1345 E MAIN ST STE 103
MESA, AZ
ZIP 85203
Phone: (480) 223-0290
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HAPPY KIDS PEDIATRICS P.C. is a pediatrics in Mesa, AZ. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. HAPPY KIDS PEDIATRICS P.C. NPI is 1083805030. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Crismon/happy Kids Pediatrics, P.c..

The provider's business location address is:

1345 E MAIN ST STE 103
MESA, AZ
ZIP 85203-950
Phone: (480) 223-0290

The provider's authorized official is Roman Carrasco .
The authorized official title is Ceo and has the following contact phone number (480) 820-5525.

The CLIA number assigned to this NPI record is 03D2008578 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/6/2007 and was last updated on 7/17/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalNo
2207Q00000XFamily MedicineNo
3363AM0700XPhysician AssistantMedicalNo
4363LF0000XNurse PractitionerFamilyNo
5208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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