Active NPI
Lone Star Kids Care
- Primary Care Clinic/Center
- Allen, TX
National Provider Identifier
1134675366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- M1354
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1976433 | Medicaid | TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2116465 | Lone Star Kids Care | Certificate of waiver | Jul 25, 2028 |
National Provider Directory
National Provider DirectoryLocations
2810 Fishtrap Rd
Prosper, TX 75078
2810 W 1st St
Ste 30
Prosper, TX 75078
Phone (469) 281-2388
Interoperability endpoints
- 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.
-
- Family Nurse Practitioner
- Allen, TX
- NPI 1881977460
-
- Pediatrics Physician
- Plano, TX
- NPI 1891831152
-
- Pediatrics Physician
- Prosper, TX
- NPI 1225298011
-
- Pediatrics Physician
- Allen, TX
- NPI 1962454397
-
- Physician Assistant
- Allen, TX
- NPI 1902085715
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.