Individual provider Active NPI

Rebecca Prengler, MD

  • Pediatrics Physician
  • Dallas, TX
National Provider Identifier
1033465232
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
Q9007 Issued in TX
Practice address
12200 Park Central Dr Ste 405B
Dallas, TX 75251-2127
Phone
(972) 341-9696
NPI assigned
Jul 25, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Q9007 TX Primary

Addresses

Primary practice location

12200 Park Central Dr Ste 405B
Dallas, TX 75251-2127

Mailing address

12200 Park Central Dr Ste 405B
Dallas, TX 75251-2127
Phone (972) 341-9696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
Q9007TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Plano Pediatrics PA Pediatrics Past Accepting new patients
Jeannine Rozas Cook, MD PA Pediatrics PastSince Apr 11, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rprengler435403@direct.childrens.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1033465232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 PARK CENTRAL DR STE 405B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512127",
            "telephone_number": "972-341-9696",
            "fax_number": "972-341-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 PARK CENTRAL DR STE 405B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512127",
            "telephone_number": "972-341-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRENGLER",
        "first_name": "REBECCA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-25",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "Q9007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.