Active NPI
Kid Friendly Pediatrics PA
- Pediatrics Physician
- Garland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- K9430
- Legal business name
- KID FRIENDLY PEDIATRICS PA
- Practice address
- 2376 Lavon Dr Ste 130
Garland, TX 75040-9001 - Phone
- (972) 496-6633
- NPI assigned
- Mar 2, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ewa K Stewart, M.D.
- Title
- Physician
- Phone
- (214) 762-7109
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | K9430 | TX | Primary |
Addresses
Primary practice location
2376 Lavon Dr Ste 130
Garland, TX 75040-9001
Mailing address
2376 Lavon Dr Ste 130
Garland, TX 75040-9001
Phone (972) 496-6633
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 369997701 | Medicaid | TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1010823 | Kid Friendly Pediatrics | Certificate of waiver | Mar 23, 2027 |
National Provider Directory
National Provider DirectoryLocations
2376 Lavon Dr
Ste 130
Garland, TX 75040
Phone (972) 496-6633
Interoperability endpoints
- https://api.platform.athenahealth.com/20453/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Garland, TX
- NPI 1376650648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488412800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1505347200000",
"number": "1003356536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2376 LAVON DR STE 130",
"city": "GARLAND",
"state": "TX",
"postal_code": "750409001",
"telephone_number": "972-496-6633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2376 LAVON DR STE 130",
"city": "GARLAND",
"state": "TX",
"postal_code": "750409001",
"telephone_number": "972-496-6633"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KID FRIENDLY PEDIATRICS PA",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-02",
"last_updated": "2017-09-14",
"status": "A",
"authorized_official_last_name": "STEWART",
"authorized_official_first_name": "EWA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "214-762-7109",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "TX",
"license": "K9430",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "369997701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.