PENCE PEDIATRICS, PC - NPI 1457023111 - Pediatrics in Monte Vista, CO

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 208000000X.

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About Pence Pediatrics, Pc NPPES

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

PENCE PEDIATRICS, PC (NPI 1457023111) is a healthcare organization registered as a pediatrics in Monte Vista, Colorado and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through November 15, 2026 and lists Mikaila Heldt Pence, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1457023111

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NamePENCE PEDIATRICS, PC

Location Address10 RUPERT STMonte Vista, CO 81144-1042

Mailing Address10 Rupert StMonte Vista, CO 81144-1042 · (719) 852-3742

Phone(719) 852-3742

Organization SubpartNo

Authorized OfficialMikaila Heldt PenceAuthorized Official · (719) 890-7723

Enumeration DateOctober 1, 2021

Last NPPES UpdateMay 23, 20242 updates tracked since enumeration

NPPES CertifiedMay 23, 2024

✔ NPI 1457023111 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.

10 RUPERT ST, Monte Vista, CO 81144

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 06D2272227

Pence Pediatrics PC · Monte Vista, CO

Active · expires Nov 15, 2026

CLIA Number06D2272227

Laboratory TypePhysician Office

Certificate Effective DateNovember 16, 2024

Certificate Expiration DateNovember 15, 2026

Laboratory DirectorDr. Mikaila Heldt Pence

Laboratory Phone(719) 852-3742

Laboratory LocationPence Pediatrics PC10 Rupert St, West Entrance, Monte Vista, CO 81144

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

DR. RICHARD DONALD SANTI D.D.S.

Dentist (General Practice)