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Active Kids Pediatrics, PC

Health Service Clinic/Center in Phoenix, AZ · enumerated 2012 · authorized official Judith Barnes Clark, Pediatrician, Co-Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629325378

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Registry record

Entity type Organization (Type 2)
Legal business name Active Kids Pediatrics, PC
Practice address 15215 S 48th St, Suite 110, Phoenix, AZ, 85044
Phone (480) 783-8960
Fax (480) 783-8967
Enumeration date Aug 13, 2012
Last updated in NPPES Aug 13, 2012

Taxonomy & classification

261QH0100X Health Service Clinic/Center Ambulatory Health Care Facilities · License A32674 (AZ) Primary

Authorized official

Name Judith Barnes Clark
Title Pediatrician, Co-Owner
Phone (480) 783-8960

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Active Kids Pediatrics, PC?
The NPI for Active Kids Pediatrics, PC is 1629325378, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Active Kids Pediatrics, PC?
NPPES lists Judith Barnes Clark (Pediatrician, Co-Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-08-13.