Organization Active NPI

Cavalier Joy & Crown Pediatric Specialists, PLLC

  • Primary Care Clinic/Center
  • Frisco, TX
National Provider Identifier
1104220573
Registry record updated Dec 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
M9913 Issued in TX
Legal business name
CAVALIER JOY & CROWN PEDIATRIC SPECIALISTS, PLLC
Practice address
7002 Lebanon Rd
Suite 103
Frisco, TX 75034-7461
Phone
(469) 213-7633
Fax
(469) 535-3664
NPI assigned
Oct 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2014

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

Authorized official

Name
Dr. Maryellen Cavalier, M.D.
Title
Owner
Phone
(469) 213-7634

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X M9913 TX
Medical Specialty Clinic/Center 261QM2500X M9913 TX
Primary Care Clinic/Center 261QP2300X M9913 TX Primary

Addresses

Primary practice location

7002 Lebanon Rd
Suite 103
Frisco, TX 75034-7461

Mailing address

PO Box 6023
Frisco, TX 75035-0226
Phone (469) 213-7634

Other names 1

  • Joy & Crown Pediatric Specialists, PLLC Doing business as

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
45D2092890Joy & Crown Pediatric Specialists, PLLC7002 Lebanon Road, Frisco, TX 75034Certificate of waiverApr 3, 2027

National Provider Directory

National Provider Directory

Locations

7002 Lebanon Rd
Ste 103
Frisco, TX 75034
Phone (469) 213-7634

Practitioners & affiliated clinicians

Practitioners 1

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": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419552000000",
    "number": "1104220573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6023",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750350226",
            "telephone_number": "469-213-7634",
            "fax_number": "469-535-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7002 LEBANON RD",
            "address_2": "SUITE 103",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347461",
            "telephone_number": "469-213-7633",
            "fax_number": "469-535-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAVALIER JOY & CROWN PEDIATRIC SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-12-26",
        "status": "A",
        "authorized_official_last_name": "CAVALIER",
        "authorized_official_first_name": "MARYELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-213-7634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "TX",
            "license": "M9913",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "M9913",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "M9913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joy & Crown Pediatric Specialists, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 26, 2014; 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.