PURE JOY PEDIATRICS LLC
NPI 1376265256
Pediatrics in King City, OR

Active since September 16, 2022CLIA 38D2274992 · Waiver
15405 SW 116TH AVE STE 116, KING CITY, OR 97224(503) 420-8667(971) 512-3246 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 2, 2022, Oct 19, 2022, Sep 16, 2022 (3 updates tracked since 2022).

About Pure Joy Pediatrics Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PURE JOY PEDIATRICS LLC (NPI 1376265256) is a healthcare organization registered as a pediatrics in King City, Oregon and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through January 12, 2027 and lists Kirin N Palmer, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1376265256
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePURE JOY PEDIATRICS LLC
Location Address15405 SW 116TH AVE STE 116King City, OR 97224-2600
Mailing Address355 Nw Orchard DrPortland, OR 97229-6256 · (503) 420-8667 · Fax (971) 512-3246
Fax(971) 512-3246
Organization SubpartNo
Authorized OfficialKirin N PalmerPhysician/owner · (503) 420-8667
Enumeration DateSeptember 16, 2022
Last NPPES UpdateNovember 2, 20223 updates tracked since enumeration
NPPES CertifiedNovember 2, 2022
NPI 1376265256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
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.
15405 SW 116TH AVE STE 116, King City, OR 97224

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2274992

Pure Joy Pediatrics · Portland, OR
Active · expires Jan 12, 2027
CLIA Number38D2274992
Laboratory TypePhysician Office
Certificate Effective DateJanuary 13, 2025
Certificate Expiration DateJanuary 12, 2027
Laboratory DirectorKirin N. Palmer
Laboratory Phone(503) 420-8667
Laboratory LocationPure Joy Pediatrics15405 SW 116th Ave, Suite 116, Portland, OR 97229
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
15405 SW 116TH AVE STE 116
TIGARD, OR 97224
Pediatrics
15405 SW 116TH AVE STE 116
KING CITY, OR 97224

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pure Joy Pediatrics LLC's NPI number?

The NPI number for Pure Joy Pediatrics LLC is 1376265256. It was assigned to this organization in the NPPES registry on September 16, 2022.

Where is Pure Joy Pediatrics LLC located?

Pure Joy Pediatrics LLC is located at 15405 SW 116th Ave Ste 116, King City, OR 97224. The listed phone number is (503) 420-8667.

What is Pure Joy Pediatrics LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Pure Joy Pediatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2274992) is associated with this NPI, valid through January 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pure Joy Pediatrics LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Pure Joy Pediatrics LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pure Joy Pediatrics LLC was last updated on November 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.