Organization Active NPI

Skwids & Skwiggles Pediatrics PLLC

  • Pediatrics Physician
  • San Antonio, TX
National Provider Identifier
1316765571
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SKWIDS & SKWIGGLES PEDIATRICS PLLC
Practice address
1620 Lookout PT
San Antonio, TX 78260-2429
Phone
(210) 487-9688
NPI assigned
Sep 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Rochelle Flynn, MD
Title
Owner
Phone
(210) 487-9688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

1620 Lookout PT
San Antonio, TX 78260-2429

Mailing address

26108 Overlook Pkwy Ste 401
San Antonio, TX 78260-6059

Other names 1

  • Pinecone Mental Health Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

26108 Overlook Pkwy
Ste 401
San Antonio, TX 78260

NPI Registry JSON

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1316765571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26108 OVERLOOK PKWY STE 401",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782606059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 LOOKOUT PT",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782602429",
            "telephone_number": "210-487-9688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKWIDS & SKWIGGLES PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "ROCHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-487-9688",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinecone Mental Health Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.