Organization Active NPI

Hanissian Pediatrics, PLLC

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1083627103
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
H8677 Issued in TX
Legal business name
HANISSIAN PEDIATRICS, PLLC
Practice address
9809 Rowlett Rd
Suite A1
Houston, TX 77075-3403
Phone
(713) 644-1119
Fax
(713) 644-0900
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Authorized official

Name
Dr. Talynn A Hanissian, M.D.NPI 1891749339
Title
Pediatrician
Phone
(713) 644-1119

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 H8677 TX Primary

Addresses

Primary practice location

9809 Rowlett Rd
Suite A1
Houston, TX 77075-3403

Mailing address

9809 Rowlett Rd
Suite A1
Houston, TX 77075-3403
Phone (713) 644-1119

Other identifiers 1

IdentifierTypeStateIssuer
179033902MedicaidTX

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
45D1051421Hanissian Pediatrics Laboratory9809 Rowlett Rd, Houston, TX 77075AccreditationMar 19, 2027

National Provider Directory

National Provider Directory

Locations

9809 Rowlett Rd
Ste A1
Houston, TX 77075
Phone (713) 644-1119

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1083627103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9809 ROWLETT RD",
            "address_2": "SUITE A1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770753403",
            "telephone_number": "713-644-1119",
            "fax_number": "713-644-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9809 ROWLETT RD",
            "address_2": "SUITE A1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770753403",
            "telephone_number": "713-644-1119",
            "fax_number": "713-644-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANISSIAN PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "HANISSIAN",
        "authorized_official_first_name": "TALYNN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "713-644-1119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "H8677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179033902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.