Active NPI
Beansprout Pediatrics
- Pediatric Adolescent Medicine Physician
- Austin, TX
National Provider Identifier
1174841456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | |||
| Pediatric Adolescent Medicine Physician | 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 DirectoryInteroperability endpoints
- 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.