Active NPI
Nicholas Pereira Mdpa
- Pediatrics Physician
- McAllen, TX
National Provider Identifier
1104008598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- K3389
- Legal business name
- NICHOLAS PEREIRA MDPA
- Practice address
- 5111 N 10TH St
# 112
McAllen, TX 78504-2835 - Phone
- (956) 451-2316
- Fax
- (956) 631-6717
- NPI assigned
- Nov 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nicholas Pereira, MD
- Title
- President
- Phone
- (956) 451-2316
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | K3389 | TX | Primary |
Addresses
Primary practice location
5111 N 10TH St
# 112
McAllen, TX 78504-2835
Mailing address
5111 N 10TH St
# 112
McAllen, TX 78504-2835
Phone (956) 451-2316
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190654701 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208822400000",
"number": "1104008598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5111 N 10TH ST",
"address_2": "# 112",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785042835",
"telephone_number": "956-451-2316",
"fax_number": "956-631-6717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5111 N 10TH ST",
"address_2": "# 112",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785042835",
"telephone_number": "956-451-2316",
"fax_number": "956-631-6717"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NICHOLAS PEREIRA MDPA",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-28",
"last_updated": "2008-04-22",
"status": "A",
"authorized_official_last_name": "PEREIRA",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "956-451-2316",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "TX",
"license": "K3389",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "190654701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.