Individual provider Active NPI

Laura McClendon, M.D.

  • Pediatrics Physician
  • Frisco, TX
National Provider Identifier
1184836512
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
N2645 Issued in TX
Practice address
5560 Independence Parkway
Frisco, TX 75035
Phone
(214) 389-8801
Fax
(214) 389-8802
NPI assigned
May 6, 2007
Last updated
Sep 26, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X N2645 TX Primary

Addresses

Primary practice location

5560 Independence Parkway
Frisco, TX 75035

Mailing address

5560 Independence Parkway
Frisco, TX 75035
Phone (214) 389-8801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090724000459 TX Practitioner - Pediatric Medicine 1850444779 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Physician Medical Services for Children Inc Pediatrics CurrentSince Nov 1, 2024 Accepting new patients
Dallas Physician Medical Services for Children Inc Pediatrics CurrentSince Nov 1, 2024 Accepting new patients
Complex Care Medical Services Corporation Pediatrics Past Accepting new patients
Centennial Pediatrics Pediatrics Past Accepting new patients

Locations

1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735

5560 Independence Pkwy
Frisco, TX 75035
Phone (214) 389-8801

7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300

940 S Legacy Dr
Ste 20
Prosper, TX 75078
Phone (214) 389-8801

Interoperability endpoints

  • Direct secure messaging: lmcclendon17851@direct.childrens.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1184836512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5560 INDEPENDENCE PARKWAY",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75035",
            "telephone_number": "214-389-8801",
            "fax_number": "214-389-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5560 INDEPENDENCE PARKWAY",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75035",
            "telephone_number": "214-389-8801",
            "fax_number": "214-389-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLENDON",
        "first_name": "LAURA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-06",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N2645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.