Organization Active NPI

Nuby Pediatrics

  • Pediatrics Physician
  • Denton, TX
National Provider Identifier
1356396980
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
NUBY PEDIATRICS
Practice address
1208 Bent Oaks CT
Denton, TX 76210-3300
Phone
(940) 566-5437
Fax
(940) 323-0553
NPI assigned
May 23, 2006
Last updated
Jan 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Authorized official

Name
Elisabed Rodriguez
Title
Office Manager
Phone
(940) 566-5437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

1208 Bent Oaks CT
Denton, TX 76210-3300

Mailing address

1208 Bent Oaks CT
Denton, TX 76210-3300
Phone (940) 566-5437

Other identifiers 4

IdentifierTypeStateIssuer
178528602OtherTXMEDICAID THS
10046727OtherTXAMERIGROUP
0011NJOtherTXBCBSTX
178582601MedicaidTX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1052825Nuby Pediatrics, PA1208 Bent Oaks CT, Denton, TX 76210Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

1103 N Elm St
Denton, TX 76201
Phone (940) 566-5437

1208 Bent Oaks Ct
Denton, TX 76210
Phone (940) 535-2926

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1356396980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 BENT OAKS CT",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762103300",
            "telephone_number": "940-566-5437",
            "fax_number": "940-323-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 BENT OAKS CT",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762103300",
            "telephone_number": "940-566-5437",
            "fax_number": "940-323-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUBY PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ELISABED",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "940-566-5437"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID THS",
            "identifier": "178528602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10046727",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "0011NJ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178582601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.