Active NPI
Rebecca Prengler, MD
- Pediatrics Physician
- Dallas, TX
National Provider Identifier
1033465232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- Q9007
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| Q9007 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Plano Pediatrics PA | Pediatrics | Past | Accepting new patients |
| Jeannine Rozas Cook, MD PA | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Pediatrics Physician
- Dallas, TX
- NPI 1477692028
-
- Pediatrics Physician
- Plano, TX
- NPI 1912012683
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
- Premise Health of Texas Medical PA (Ross Avenue Health Center)
- Premise Health of Texas Medical PA (TESS - Dallas)
- Premium Lab Services LLC
- Jennifer Urbani Premo, EDDIAGNOSTICIANMED
- Irving David Prengler, MD
- Yosef Presburger
- Presbyterian Apothecary
- Presbyterian Hospital
- Presbyterian Hospital of Dallas
- Presbyterian Hospital of Dallas
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.