NPIMap

Organization Active NPI

Inwood Village Pediatrics

  • Pediatrics Physician
  • Dallas, TX
National Provider Identifier
1336333806
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L4488 Issued in TX
Legal business name
INWOOD VILLAGE PEDIATRICS
Practice address
5470 W. Lovers Lane
Suite 330
Dallas, TX 75209
Phone
(214) 956-7337
Fax
(214) 466-8289
NPI assigned
Aug 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Authorized official

Name
Dr. Tammy L Kennedy, M.D.
Title
Partner/Owner
Phone
(214) 956-7337

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X L4488 TX Primary
Medical Specialty Clinic/Center 261QM2500X L4488 TX

Addresses

Primary practice location

5470 W. Lovers Lane
Suite 330
Dallas, TX 75209

Mailing address

5470 W. Lovers Lane
Suite 330
Dallas, TX 75209
Phone (214) 956-7337

Other names 1

  • WESTCHESTER PEDIATRICS Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Inwood Village Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5470 W Lovers Ln
Ste 330
Dallas, TX 75209
Phone (214) 956-7337

Practitioners & affiliated clinicians

Practitioners 10

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": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1336333806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5470 W. LOVERS LANE",
            "address_2": "SUITE 330",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75209",
            "telephone_number": "214-956-7337",
            "fax_number": "214-466-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5470 W. LOVERS LANE",
            "address_2": "SUITE 330",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75209",
            "telephone_number": "214-956-7337",
            "fax_number": "214-466-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INWOOD VILLAGE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "214-956-7337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L4488",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "L4488",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESTCHESTER PEDIATRICS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jun 20, 2012; 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.