Organization Active NPI

Lone Star Kids Care

  • Primary Care Clinic/Center
  • Allen, TX
National Provider Identifier
1134675366
Registry record updated Aug 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
M1354 Issued in TX
Legal business name
LONE STAR KIDS CARE
Practice address
1256 W Exchange Pkwy Ste 200
Allen, TX 75013-7049
Phone
(972) 649-5480
Fax
(469) 854-6664
NPI assigned
Aug 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2016

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

Authorized official

Name
Dr. Kimberly Lynn Smith, M.D.
Title
Owner/Physician
Phone
(972) 649-5480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X M1354 TX Primary

Addresses

Primary practice location

1256 W Exchange Pkwy Ste 200
Allen, TX 75013-7049

Mailing address

1256 W Exchange Ste 200
Allen, TX 75013-7049
Phone (972) 649-5480

Other identifiers 1

IdentifierTypeStateIssuer
1976433MedicaidTX

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
45D2116465Lone Star Kids Care1256 W Exchange Pkwy, Suite 200, Allen, TX 75013Certificate of waiverJul 25, 2028

National Provider Directory

National Provider Directory

Locations

2810 Fishtrap Rd
Prosper, TX 75078

2810 W 1st St
Ste 30
Prosper, TX 75078
Phone (469) 281-2388

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14040/brand/1/csg/1/fhir/r4

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": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472342400000",
    "number": "1134675366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1256 W EXCHANGE STE 200",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750137049",
            "telephone_number": "972-649-5480",
            "fax_number": "469-854-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 W EXCHANGE PKWY STE 200",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750137049",
            "telephone_number": "972-649-5480",
            "fax_number": "469-854-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR KIDS CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "972-649-5480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "M1354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1976433",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; 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.