NPIMap

Organization Active NPI

Konata Childs, MD, PLLC

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1326104571
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
KONATA CHILDS, MD, PLLC
Practice address
10115 Cherry Tree Dr
Dallas, TX 75243-4807
Phone
(214) 929-8669
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Authorized official

Name
Harold K Childs, MD
Title
Owner
Phone
(214) 929-8669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

10115 Cherry Tree Dr
Dallas, TX 75243-4807

Mailing address

10115 Cherry Tree Dr
Dallas, TX 75243-4807
Phone (214) 929-8669

Other identifiers 1

IdentifierTypeStateIssuer
193193301MedicaidTX

National Provider Directory

National Provider Directory

Locations

231 S Collins Rd
Sunnyvale, TX 75182
Phone (972) 203-6240

Practitioners & affiliated clinicians

Practitioners 6

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": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1326104571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10115 CHERRY TREE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752434807",
            "telephone_number": "214-929-8669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10115 CHERRY TREE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752434807",
            "telephone_number": "214-929-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONATA CHILDS, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "CHILDS",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-929-8669",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193193301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "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 Jul 29, 2008; 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.