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Export Provider Record NPI 1043722176
Mikids Pediatrics, Pc
Organization Subpart: NO
Active
NPI Number1043722176
NPI TypeNPI-2 Organization
SpecialtyPediatrics
Provider Details
NPI1043722176
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2017-10-30
Last Updated2019-03-04
Authorized OfficialNicole Garbacik
Credentialing Specialist
Phone: 6162354800
Mailing Address7150 Kalamazoo Ave Se, Suite A
Caledonia, MI 49316-9126
United States
Phone: (616) 818-7454 | Fax: (616) 818-7455
📍 View Map
Primary Practice Address7150 Kalamazoo Ave Se, Suite A
Caledonia, MI 49316
United States
Phone: (616) 818-7454 | Fax: (616) 818-7455
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes208000000X – Pediatrics
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About NPI 1043722176

Mikids Pediatrics, Pc is an organization registered in the CMS NPPES NPI Registry with NPI number 1043722176. The primary specialty listed is Pediatrics. The organization is located in Caledonia, MI. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2017-10-30. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1043722176?

NPI 1043722176 belongs to Mikids Pediatrics, Pc, a Pediatrics in Caledonia, MI. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1043722176 active?

The current status of NPI 1043722176 in the NPPES registry is Active. The record was last updated on 2019-03-04.

What specialty is NPI 1043722176?

NPI 1043722176 is classified under the taxonomy Pediatrics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1043722176?

You can verify NPI 1043722176 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1043722176?

The primary practice address on file for NPI 1043722176 is 7150 Kalamazoo Ave Se, Caledonia, MI 49316. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1043722176 issued?

NPI 1043722176 was first issued (enumerated) on 2017-10-30. The NPPES record was last updated on 2019-03-04.

Practice Location Map

Mikids Pediatrics, Pc is located at 7150 Kalamazoo Ave Se, Caledonia, MI. Use the map below to find directions or verify the practice location.

📍 7150 Kalamazoo Ave Se, Caledonia, MI 49316  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Mikids Pediatrics, Pc. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-06-16 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162