Organization Active NPI

Alamo Heights Pediatrics

  • Pediatrics Physician
  • San Antonio, TX
National Provider Identifier
1003031063
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
J9890 Issued in TX
Legal business name
ALAMO HEIGHTS PEDIATRICS
Practice address
555 E Basse Rd Ste 108
San Antonio, TX 78209-8329
Phone
(210) 930-8400
Fax
(210) 930-8402
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lindsay Irvin, M.D,NPI 1629186697
Title
Owner
Phone
(210) 930-8400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X J9890 TX Primary

Addresses

Primary practice location

555 E Basse Rd Ste 108
San Antonio, TX 78209-8329

Mailing address

555 E Basse Rd Ste 108
San Antonio, TX 78209-8329
Phone (210) 930-8400

Other identifiers 1

IdentifierTypeStateIssuer
0089JQMedicaidTX

National Provider Directory

National Provider Directory

Locations

555 E Basse Rd
Ste 108
San Antonio, TX 78209
Phone (210) 930-8400

1919 Oakwell Farms Pkwy
Ste 257
San Antonio, TX 78218
Phone (210) 930-8400

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1003031063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E BASSE RD STE 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782098329",
            "telephone_number": "210-930-8400",
            "fax_number": "210-930-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E BASSE RD STE 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782098329",
            "telephone_number": "210-930-8400",
            "fax_number": "210-930-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMO HEIGHTS PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "IRVIN",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-930-8400",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J9890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0089JQ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.