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KIDZCARE PEDIATRICS PC NPI 1821419508


NPI Information

NPI: 1821419508
Provider Name: KIDZCARE PEDIATRICS, PC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 34D2071737

Address:
5244B N SHARON AMITY RD
CHARLOTTE, NC
ZIP 28215
Phone: (704) 536-0073
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KIDZCARE PEDIATRICS, PC is a pediatrics in Charlotte, NC. 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. KIDZCARE PEDIATRICS, PC NPI is 1821419508. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5244B N SHARON AMITY RD
CHARLOTTE, NC
ZIP 28215-053
Phone: (704) 536-0073
Fax: (704) 535-5722

The provider's authorized official is Rebecca E Wright .
The authorized official title is Credentials Manager and has the following contact phone number (910) 483-7337.

The CLIA number assigned to this NPI record is 34D2071737 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/23/2013 and was last updated on 7/16/2015.


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
1208000000XPediatrics118386NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19473694OTHERNORTH CAROLINAPHCS MULTIPLAN
21821419508MEDICAIDNORTH CAROLINA
31821419508OTHERNORTH CAROLINACOVENTRY CAROLINAS, PPO, NATIONAL
42775124OTHERNORTH CAROLINAUNITED HEALTHCARE
54142710OTHERNORTH CAROLINACIGNA GREATWEST
61821419508OTHERNORTH CAROLINATRICARE
71821419508OTHERNORTH CAROLINAFIRST CAROLINA CARE
81821419508OTHERNORTH CAROLINAMEDCOST
97578540OTHERNORTH CAROLINAAETNA
10016VROTHERNORTH CAROLINABCBS OF NC
111821419508OTHERNORTH CAROLINAHUMANA
121821419508OTHERNORTH CAROLINAHEALTHSMART

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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