Organization Active NPI

Beansprout Pediatrics

  • Pediatric Adolescent Medicine Physician
  • Austin, TX
National Provider Identifier
1174841456
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
BEANSPROUT PEDIATRICS
Practice address
13917 W Highway 71 Ste a
Austin, TX 78738-3008
Phone
(512) 610-7030
Fax
(512) 610-7034
NPI assigned
May 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Authorized official

Name
Mrs. Danielle Denise Grant, M.D.
Title
Owner/Physician
Phone
(512) 610-7030

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Pediatric Adolescent Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080A0000X Primary

Addresses

Primary practice location

13917 W Highway 71 Ste a
Austin, TX 78738-3008

Mailing address

13917 W Highway 71 Ste a
Austin, TX 78738-3008
Phone (512) 610-7030

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14791/brand/1/csg/1/fhir/r4

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1174841456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13917 W HIGHWAY 71 STE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787383008",
            "telephone_number": "512-610-7030",
            "fax_number": "512-610-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13917 W HIGHWAY 71 STE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787383008",
            "telephone_number": "512-610-7030",
            "fax_number": "512-610-7034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEANSPROUT PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "512-610-7030",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.