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ACTIVE KIDS PEDIATRICS, PC
NPI 1629325378
Clinic/Center - Health Service in Phoenix, AZ

Active since August 13, 2012
15215 S 48TH ST, SUITE 110, PHOENIX, AZ 85044(480) 783-8960(480) 783-8967 Get Directions Write a Review

NPPES record last updated: August 13, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Active Kids Pediatrics, Pc NPPES

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

ACTIVE KIDS PEDIATRICS, PC (NPI 1629325378) is a healthcare organization registered as a health service in Phoenix, Arizona and active in the NPI registry since August 2012. The organization lists Judith Rosch Barnes Clark, Pediatrician, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1629325378
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameACTIVE KIDS PEDIATRICS, PC
Location Address15215 S 48TH ST, SUITE 110Phoenix, AZ 85044-9142
Mailing Address15215 S 48th St, Suite 110Phoenix, AZ 85044-9142 · (480) 783-8960 · Fax (480) 783-8967
Phone(480) 783-8960
Fax(480) 783-8967
Organization SubpartNo
Authorized OfficialJudith Rosch Barnes ClarkPediatrician, Co-owner · (480) 783-8960
Enumeration DateAugust 13, 2012
✔ NPI 1629325378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License✔ Licensed in AZ · A32674
15215 S 48TH ST, Phoenix, AZ 85044
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

JEFFERY A KOHLER, DDS, PC
Dentist
15215 S 48TH ST, SUITE 190
PHOENIX, AZ 85044
Maricopa County (480) 893-2474
DR. ROBERT B OGESEN II M.D.
Psychiatry & Neurology (Addiction Medicine)
15215 S 48TH ST, STE 152
PHOENIX, AZ 85044
Maricopa County (480) 704-8585
MR. GORDON ALAN GUNNELL MS, LMFT, LISAC
Counselor (Addiction (Substance Use Disorder))
15215 S 48TH ST, SUITE 116
PHOENIX, AZ 85044
Maricopa County (480) 220-7050
MR. GREGORY PAUL EDMONDS DDS
Dentist
15215 S 48TH ST, #158
PHOENIX, AZ 85044
Maricopa County (480) 598-3006
MS. MINDY STADLER HENDRICKSON PA-C
Physician Assistant
15215 S 48TH ST, SUITE 120
PHOENIX, AZ 85044
Maricopa County (480) 706-6580
ENGLISH DERMATOLOGY PC
Dermatology
15215 S 48TH ST, SUITE 120
PHOENIX, AZ 85044
Maricopa County (480) 706-6580
DR. JEFFERY ARTHUR KOHLER D.D.S.
Dentist
15215 S 48TH ST, SUITE 190
PHOENIX, AZ 85044
Maricopa County (480) 893-2474
ALCOHOL RECOVERY SOLUTIONS, INC.
Community/Behavioral Health
15215 S 48TH ST, SUITE 150
PHOENIX, AZ 85044
Maricopa County (480) 496-9760

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 Active Kids Pediatrics, PC's NPI number?

The NPI number for Active Kids Pediatrics, PC is 1629325378. It was assigned to this organization in the NPPES registry on August 13, 2012.

Where is Active Kids Pediatrics, PC located?

Active Kids Pediatrics, PC is located at 15215 S 48th St Suite 110, Phoenix, AZ 85044. The listed phone number is (480) 783-8960.

What is Active Kids Pediatrics, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Active Kids Pediatrics, PC was last updated on August 13, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.