Active NPI
Raymond W. Kleposki III, MSN, APN
- Pediatric Nurse Practitioner
- Frisco, TX
National Provider Identifier
1003863911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 844835
- Practice address
- 5700 Dallas Pkwy
Frisco, TX 75034-9580 - Phone
- (469) 515-7100
- Fax
- (214) 443-7309
- NPI assigned
- May 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 26NR15716600 | PA | |
| Registered Nurse | 163W00000X | RN513438L | PA | |
| Pediatric Nurse Practitioner | 363LP0200X | TP006788D | PA | |
| Pediatric Nurse Practitioner | 363LP0200X | 844835 | TX | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | 26NJ00355300 | NJ |
Addresses
Primary practice location
5700 Dallas Pkwy
Frisco, TX 75034-9580
Mailing address
2222 Welborn St
Dallas, TX 75219-3924
Phone (214) 559-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR15716600 | PA | MD | Registered Nurse |
| RN513438L | PA | MD | Registered Nurse |
| 26NJ00355300 | NJ | MD | Pediatric Nurse Practitioner |
| TP006788D | PA | MD | Pediatric Nurse Practitioner |
| 844835 | TX | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pedi-Ortho Health Corporation | Current | Accepting new patients | |
| Texas Scottish Rite Hospital for Crippled Children | Current | Accepting new patients |
Locations
2222 Welborn St
Dallas, TX 75219
Phone (214) 559-5000
5700 Dallas Pkwy
Frisco, TX 75034
Phone (469) 515-7100
3800 Gaylord Pkwy
Ste 850
Frisco, TX 75034
Phone (469) 857-2222
Interoperability endpoints
- https://epicproxy.et0970.epichosted.com/FHIRProxy/HOME/api/FHIR/R4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Orthopaedic Surgery Physician
- Dallas, TX
- NPI 1265104939
-
- Pediatric Orthopaedic Surgery Physician
- Dallas, TX
- NPI 1598188948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551916800000",
"number": "1003863911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 WELBORN ST",
"city": "DALLAS",
"state": "TX",
"postal_code": "752193924",
"telephone_number": "214-559-5000",
"fax_number": "214-443-7309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 DALLAS PKWY",
"city": "FRISCO",
"state": "TX",
"postal_code": "750349580",
"telephone_number": "469-515-7100",
"fax_number": "214-443-7309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEPOSKI",
"first_name": "RAYMOND",
"middle_name": "W.",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "MSN, APN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2019-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "26NR15716600",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN513438L",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "PA",
"license": "TP006788D",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "844835",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NJ",
"license": "26NJ00355300",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.