DSW Pediatrics & Children and Youth Clinic

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

DSW PEDIATRICS & CHILDREN AND YOUTH CLINIC

Practice address

2727 Bolton Boone Dr Ste 111
Desoto, TX 75115-2019

Phone

(972) 298-1878

Fax

(972) 298-1952

NPI assigned

Nov 6, 2018

Organization subpart

No

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

Authorized official

Name

Joseph V Rodriguez

Title

Office Manager

Phone

(972) 298-1878

Specialties & licenses 1

Addresses

Other names 1

• Joselita Rodriguez M.D. Doing business as

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joselita D Rodriguez, MD

  • Pediatrics Physician
  • Desoto, TX
  • NPI 1689692931
  NPD (past)

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1043788201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 BOLTON BOONE DR STE 111",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152019",
            "telephone_number": "972-298-1878",
            "fax_number": "972-298-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 BOLTON BOONE DR STE 111",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152019",
            "telephone_number": "972-298-1878",
            "fax_number": "972-298-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DSW PEDIATRICS & CHILDREN AND YOUTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-06",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-298-1878"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joselita Rodriguez M.D.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Joselita Rodriguez M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dr. Beatrice B. Kilguss DC
• Dr. Jennifer L Scott
• Dr. Ly Phan & Associates, P.C.
• Barbie Drayden
• Dreaming Cgi PLLC
• Jacques Dureus
• Kate Durugbor
• Michelle L Dyer, LPC
• Ashley Easaw, DNP, RN
• Ebai Healthcare Services

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.