Healthcare Provider Details

I. General information

NPI: 1992494173
Provider Name (Legal Business Name): HAPPY HEARTS PEDIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2023
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3875 E WILLIAMS FIELD RD STE 306
GILBERT AZ
85295-8901
US

IV. Provider business mailing address

3875 E WILLIAMS FIELD RD STE 306
GILBERT AZ
85295-8901
US

V. Phone/Fax

Practice location:
  • Phone: 480-237-4950
  • Fax:
Mailing address:
  • Phone: 480-237-4950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: JILL RICHEY
Title or Position: NURSE PRACTITIONER
Credential:
Phone: 480-332-3088