NPIMap

Organization Active NPI

Head Pediatrics PLLC

  • Pediatrics Physician
  • Nacogdoches, TX
National Provider Identifier
1255725982
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
Q3007 Issued in TX
Legal business name
HEAD PEDIATRICS PLLC
Practice address
2714 N University Dr
Ste 100
Nacogdoches, TX 75965-2973
Phone
(936) 305-5050
Fax
(936) 305-5050
NPI assigned
Mar 19, 2015
Last updated
Mar 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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

Authorized official

Name
Dr. Ryan Head, MDNPI 1386873081
Title
Sole Member
Phone
(936) 305-5050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Q3007 TX Primary

Addresses

Primary practice location

2714 N University Dr
Ste 100
Nacogdoches, TX 75965-2973

Mailing address

2714 N University Dr
Ste 100
Nacogdoches, TX 75965-2973
Phone (936) 305-5050

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18601/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1255725982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2714 N UNIVERSITY DR",
            "address_2": "STE 100",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652973",
            "telephone_number": "936-305-5050",
            "fax_number": "936-305-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2714 N UNIVERSITY DR",
            "address_2": "STE 100",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652973",
            "telephone_number": "936-305-5050",
            "fax_number": "936-305-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAD PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-19",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "HEAD",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "936-305-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "Q3007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.