Individual provider Active NPI

Deborah Zebold Bain, M.D.

  • Pediatrics Physician
  • Frisco, TX
National Provider Identifier
1083700314
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
J6315 Issued in TX
Practice address
5680 Frisco Square Blvd Ste 2300
Frisco, TX 75034-3321
Phone
(972) 294-0808
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X J6315 TX Primary

Addresses

Primary practice location

5680 Frisco Square Blvd Ste 2300
Frisco, TX 75034-3321

Mailing address

5680 Frisco Square Blvd Ste 2300
Frisco, TX 75034-3321
Phone (972) 294-0808

Other identifiers 1

IdentifierTypeStateIssuer
J6315OtherTXSTATELICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J6315TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Kids Pediatrics Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJBCAA/Endpoint/EJBCAA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1083700314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5680 FRISCO SQUARE BLVD STE 2300",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750343321",
            "telephone_number": "972-294-0808",
            "fax_number": "972-294-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5680 FRISCO SQUARE BLVD STE 2300",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750343321",
            "telephone_number": "972-294-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIN",
        "first_name": "DEBORAH",
        "middle_name": "ZEBOLD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J6315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATELICENSE",
            "identifier": "J6315",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.