Individual provider Active NPI

William Pennock Laird II, MD

  • Pediatric Cardiology Physician
  • Dallas, TX
National Provider Identifier
1306834023
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
K3599 Issued in TX
Practice address
12201 Merit Dr Ste 550
Dallas, TX 75251
Phone
(972) 331-9700
Fax
(972) 331-9833
NPI assigned
Oct 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X K3599 TX Primary

Addresses

Primary practice location

12201 Merit Dr Ste 550
Dallas, TX 75251

Mailing address

12201 Merit Dr Ste 550
Dallas, TX 75251-3131
Phone (972) 331-9700

Other identifiers 1

IdentifierTypeStateIssuer
157506003MedicaidTX

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
I20120406000115 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 5496916173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Pediatric Medicine
Education
University of Texas Southwestern Medical School at Dallas, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallas Physician Medical Services for Children IncGroup PAC ID 1759607906, 86 clinicians

Practice addresses (Care Compare)

7557 Rambler Rd
Suite 290
Dallas, TX 75231-0101
Phone (972) 331-9700

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 Pediatric Cardiology CurrentSince Nov 30, 2018 Accepting new patients
Dallas Physician Medical Services for Children Inc CurrentSince Nov 30, 2018 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas Past Accepting new patients
Complex Care Medical Services Corporation Past Accepting new patients

Locations

4927 S Collins St
Ste 101
Arlington, TX 76018
Phone (817) 465-7764

3127 College St
Beaumont, TX 77701
Phone (409) 899-1433

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

12201 Merit Dr
Ste 550
Dallas, TX 75251

7557 Rambler Rd
Ste 290
Dallas, TX 75231

1935 Medical District Dr
#411
Dallas, TX 75235

13711 Wallisville Rd
Houston, TX 77049
Phone (713) 455-7777

1825 Cannon Dr
Mansfield, TX 76063
Phone (817) 453-7770

7211 Preston Rd
Ste 4200
Plano, TX 75024

7211 Preston Rd
Ste 4100
Plano, TX 75024

7211 Preston Rd
Ste 3801
Plano, TX 75024

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

1300 Childrens Way
Ste 310
Prosper, TX 75078
Phone (469) 303-3510

Interoperability endpoints

  • Direct secure messaging: dmcwlaird@yourcarecommunity.org
  • Direct secure messaging: wlaird18318@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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1306834023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 MERIT DR STE 550",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752513131",
            "telephone_number": "972-331-9700",
            "fax_number": "972-331-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 MERIT DR STE 550",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75251",
            "telephone_number": "972-331-9700",
            "fax_number": "972-331-9833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIRD",
        "first_name": "WILLIAM",
        "middle_name": "PENNOCK",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "TX",
            "license": "K3599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157506003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.