Organization Active NPI

Basin Pediatrics, LLC

Doing business as Basin Pediatrics

  • Pediatrics Physician
  • Midland, TX
National Provider Identifier
1033825203
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
BASIN PEDIATRICS, LLC
Doing business as
Basin Pediatrics
Practice address
4410 N Midkiff Rd Ste D4
Midland, TX 79705-4249
Phone
(432) 557-6350
NPI assigned
Jan 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Authorized official

Name
Mrs. Jessica Nicole Salas, C.P.N.P.NPI 1306198270
Title
Provider/Owner
Phone
(432) 218-8899

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

4410 N Midkiff Rd Ste D4
Midland, TX 79705-4249

Mailing address

2013 Mosswood Dr
Midland, TX 79707-5078
Phone (432) 557-6350

Other names 1

  • BASIN PEDIATRICS Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2279277Basin Pediatrics LLC4410 N Midkiff Rd Ste D-4, Midland, TX 79705Certificate of waiverMar 30, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1033825203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 MOSSWOOD DR",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797075078",
            "telephone_number": "432-557-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 N MIDKIFF RD STE D4",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797054249",
            "telephone_number": "432-557-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASIN PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-08-10",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "SALAS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "432-218-8899",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "C.P.N.P."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BASIN PEDIATRICS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BASIN PEDIATRICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.

Verify at the official NPI Registry.