Pediatric and Adolescent Medical Center

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

Q2262 Issued in TX

Legal business name

PEDIATRIC AND ADOLESCENT MEDICAL CENTER

Practice address

3624 Dripping Springs Dr
Plano, TX 75025-6806

Phone

(469) 631-2243

NPI assigned

Jun 12, 2018

Last updated

Jun 12, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ranjana Chandramouli, MDNPI 1790769388

Title

President

Phone

(469) 631-2243

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ranjana Chandramouli, MD

  • Pediatrics Physician
  • Plano, TX
  • NPI 1790769388
  NPD Authorized official

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528761600000",
    "number": "1205329448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3624 DRIPPING SPRINGS DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750256806",
            "telephone_number": "469-631-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3624 DRIPPING SPRINGS DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750256806",
            "telephone_number": "469-631-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC AND ADOLESCENT MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A",
        "authorized_official_last_name": "CHANDRAMOULI",
        "authorized_official_first_name": "RANJANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-631-2243",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "Q2262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iva Lim Peck, LAC.,DIPL.AC.,RN
• Michael A. Peck, D.D.S., M.S.
• Nichole Peck
• Richard Austin Peck, L. AC.
• Pediatric After Hours Management, L.L.C.
• Pediatric Associates of North Texas
• Pediatric Associates of Plano, PLLC (Pediatric Associates of PLano)
• Pediatric Dental Services (Sweet Smiles)
• Pediatric Emergency Medicine Group LLP
• Pediatric Endocrinology of North Texas, PLLC

• Pediatrics Physician in Plano, TX
• Providers in Plano, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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.