Organization Active NPI

Physicians for Children

Doing business as Children's Health Pediatric Group

  • Pediatric Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1053615625
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
Legal business name
PHYSICIANS FOR CHILDREN
Doing business as
Children's Health Pediatric Group
Practice address
2350 N Stemmons Fwy
Dallas, TX 75207-2700
Phone
(469) 488-7100
Fax
(469) 488-7101
NPI assigned
Dec 22, 2010
Last updated
Oct 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

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

Authorized official

Name
Laura Carr
Title
Administrator
Phone
(214) 456-6715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X NU Primary

Addresses

Primary practice location

2350 N Stemmons Fwy
Dallas, TX 75207-2700

Mailing address

PO Box 844582
Dallas, TX 75284-4582
Phone (214) 456-4550

Other identifiers 16

IdentifierTypeStateIssuer
214745601MedicaidTX
324083001MedicaidTX
311619604MedicaidTX
312874604MedicaidTX
200950807MedicaidTX
296409004MedicaidTX
216913801MedicaidTX
283321201MedicaidTX
312162604MedicaidTX
333431001MedicaidTX
200950804MedicaidTX
315041907MedicaidTX
316617501MedicaidTX
284289001MedicaidTX
323239904MedicaidTX
312059404MedicaidTX

Other names 1

  • Children's Health Pediatric Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Children's Health Pediatric Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1053615625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844582",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844582",
            "telephone_number": "214-456-4550",
            "fax_number": "214-456-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 N STEMMONS FWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752072700",
            "telephone_number": "469-488-7100",
            "fax_number": "469-488-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-22",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-456-6715"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214745601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "324083001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "311619604",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312874604",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200950807",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "296409004",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216913801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283321201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312162604",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "333431001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200950804",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "315041907",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "316617501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284289001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "323239904",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312059404",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Health Pediatric Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 6, 2014; 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.