Organization Active NPI

Kid Pro, PLLC

  • Hearing and Speech Clinic/Center
  • Dallas, TX
National Provider Identifier
1306304753
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
KID PRO, PLLC
Practice address
6510 Abrams Rd Ste 315
Dallas, TX 75231-7280
Phone
(972) 755-9157
NPI assigned
Mar 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Authorized official

Name
Ashley Elizabeth Smith, MS, CCC-SLPNPI 1033144654
Title
Owner/SLP
Phone
(972) 755-9157

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

6510 Abrams Rd Ste 315
Dallas, TX 75231-7280

Mailing address

6510 Abrams Rd Ste 315
Dallas, TX 75231-7280
Phone (972) 755-9157

Other identifiers 1

IdentifierTypeStateIssuer
114244OtherTXTX SLP LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.kidprospeechtherapy.com Direct

National Provider Directory

National Provider Directory

Locations

10405 E Northwest Hwy
Ste 302
Dallas, TX 75238
Phone (972) 755-9157

6510 Abrams Rd
Ste 315
Dallas, TX 75231
Phone (972) 755-9157

7150 Skillman St
Ste 160
Dallas, TX 75231

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1306304753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6510 ABRAMS RD STE 315",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752317280",
            "telephone_number": "972-755-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6510 ABRAMS RD STE 315",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752317280",
            "telephone_number": "972-755-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KID PRO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/SLP",
        "authorized_official_telephone_number": "972-755-9157",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX SLP LICENSE",
            "identifier": "114244",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.kidprospeechtherapy.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6510 Abrams Rd Ste 315",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752317280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.