Organization Active NPI

Lee Ann Pearse, M.D., P.a.

  • Pediatric Cardiology Physician
  • Dallas, TX
National Provider Identifier
1063417236
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
K4524 Issued in TX
Legal business name
LEE ANN PEARSE, M.D., P.A.
Practice address
7777 Forest LN
Ste B141
Dallas, TX 75230-2527
Phone
(972) 566-5622
Fax
(972) 566-5616
NPI assigned
Jun 15, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lee Ann Pearse, M.D.NPI 1184629347
Title
Physician/Owner
Phone
(972) 566-5622

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
Pediatric Cardiology Physician 2080P0202X K4524 TX Primary

Addresses

Primary practice location

7777 Forest LN
Ste B141
Dallas, TX 75230-2527

Mailing address

7777 Forest LN
Ste B141
Dallas, TX 75230-2527
Phone (972) 566-5622

National Provider Directory

National Provider Directory

Locations

7777 Forest Ln
Ste B141
Dallas, TX 75230
Phone (972) 566-5622

7777 Forest Ln
Ste B144
Dallas, TX 75230
Phone (972) 566-5622

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": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063417236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "STE B141",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302527",
            "telephone_number": "972-566-5622",
            "fax_number": "972-566-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "STE B141",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302527",
            "telephone_number": "972-566-5622",
            "fax_number": "972-566-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE ANN PEARSE, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEARSE",
        "authorized_official_first_name": "LEE ANN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "972-566-5622",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "TX",
            "license": "K4524",
            "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 Aug 22, 2020; 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.