Active NPI
Westside Pediatrics
- Pediatrics Physician
- Katy, TX
National Provider Identifier
1225676547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- WESTSIDE PEDIATRICS
- Practice address
- 21222 Kingsland Blvd
Katy, TX 77450-5898 - Phone
- (281) 578-5788
- NPI assigned
- Dec 17, 2019
- 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
- Agnes Kisch
- Title
- Doctor
- Phone
- (832) 398-8297
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
21222 Kingsland Blvd
Katy, TX 77450-5898
Mailing address
21222 Kingsland Blvd
Katy, TX 77450-5898
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1049014 | Westside Pediatrics | Certificate of waiver | Aug 28, 2026 |
National Provider Directory
National Provider DirectoryLocations
20903 Kingsland Blvd
Katy, TX 77450
Phone (281) 578-3863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576540800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725408000000",
"number": "1225676547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21222 KINGSLAND BLVD",
"city": "KATY",
"state": "TX",
"postal_code": "774505898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21222 KINGSLAND BLVD",
"city": "KATY",
"state": "TX",
"postal_code": "774505898",
"telephone_number": "281-578-5788"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTSIDE PEDIATRICS",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-17",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A",
"authorized_official_last_name": "KISCH",
"authorized_official_first_name": "AGNES",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "832-398-8297"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.