Organization Active NPI

Pediatric Physicians, PA

  • Pediatrics Physician
  • Flower Mound, TX
National Provider Identifier
1356486484
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
E5779 Issued in TX
Legal business name
PEDIATRIC PHYSICIANS, PA
Practice address
3101 Churchill Dr Ste 200
Flower Mound, TX 75022-2732
Phone
(972) 691-2100
Fax
(972) 691-2150
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kiran Harpavat, M.D.NPI 1003827270
Title
President
Phone
(972) 691-2100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X E5779 TX Primary

Addresses

Primary practice location

3101 Churchill Dr Ste 200
Flower Mound, TX 75022-2732

Mailing address

3101 Churchill Dr Ste 200
Flower Mound, TX 75022-2732
Phone (972) 691-2100

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
45D0712302Pediatric Physicians PA3101 Churchill Dr Ste 200, Flower Mound, TX 75022Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

3101 Churchill Dr
Ste 200
Flower Mound, TX 75022
Phone (972) 691-2100

Practitioners & affiliated clinicians

Practitioners 3

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": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356486484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 CHURCHILL DR STE 200",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750222732",
            "telephone_number": "972-691-2100",
            "fax_number": "972-691-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 CHURCHILL DR STE 200",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750222732",
            "telephone_number": "972-691-2100",
            "fax_number": "972-691-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PHYSICIANS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARPAVAT",
        "authorized_official_first_name": "KIRAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-691-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "E5779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.