CLJ Pediatrics, P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G5885 Issued in TX

Legal business name

CLJ PEDIATRICS, P.A.

Practice address

3601 North Star Rd
Richardson, TX 75082-2608

Phone

(972) 231-9421

Fax

(972) 907-8779

NPI assigned

Nov 10, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Richard Hartman Daniel, M.D.

Title

Owner

Phone

(972) 231-9421

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1013294669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 NORTH STAR RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822608",
            "telephone_number": "972-231-9421",
            "fax_number": "972-907-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 NORTH STAR RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822608",
            "telephone_number": "972-231-9421",
            "fax_number": "972-907-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLJ PEDIATRICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-10",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "HARTMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-231-9421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "G5885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112124602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "E77631",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Richardson, TX
• Providers in Richardson, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.