Active NPI
Danny L Price, MD
- Pediatrics Physician
- Tyler, TX
National Provider Identifier
1174705883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- J6670
- Practice address
- 1350 E Richards St
Tyler, TX 75702-6153 - Phone
- (903) 531-9455
- Fax
- (903) 526-3118
- NPI assigned
- Dec 4, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | J6670 | TX | Primary |
Addresses
Primary practice location
1350 E Richards St
Tyler, TX 75702-6153
Mailing address
1350 E Richards St
Tyler, TX 75702-6153
Phone (903) 531-9455
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126642106 | Medicaid | TX | |
| 8G0389 | Other | TX | BCBS OF TEXAS |
| 752616977027 | Other | TX | TRICARE |
| 126642107 | Other | TX | MEDICAID- CSCHN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305 | SC | MD | General Practice Dentistry |
| J6670 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Paul Children'S Medical Corporation | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- dprice7057@christushealth.direct-ci.net
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.
-
- Pediatrics Physician
- Tyler, TX
- NPI 1336376391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739923200000",
"number": "1174705883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 E RICHARDS ST",
"city": "TYLER",
"state": "TX",
"postal_code": "757026153",
"telephone_number": "903-531-9455",
"fax_number": "903-526-3118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 E RICHARDS ST",
"city": "TYLER",
"state": "TX",
"postal_code": "757026153",
"telephone_number": "903-531-9455",
"fax_number": "903-526-3118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "DANNY",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-04",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "J6670",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "126642106",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TEXAS",
"identifier": "8G0389",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "752616977027",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID- CSCHN",
"identifier": "126642107",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.