NPIMap

Organization Active NPI

Kids Healthcare, Inc

  • Pediatrics Physician
  • Kaufman, TX
National Provider Identifier
1376732339
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
KIDS HEALTHCARE, INC
Practice address
1011 W Grove St
Suite 120
Kaufman, TX 75142-1882
Phone
(972) 932-1319
Fax
(972) 932-1388
NPI assigned
Oct 16, 2007
Last updated
Jan 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Authorized official

Name
Dr. Charles Turner Lewis III, M.D.NPI 1962406744
Title
Medical Director
Phone
(972) 932-1319

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

1011 W Grove St
Suite 120
Kaufman, TX 75142-1882

Mailing address

1011 W Grove St
Suite 120
Kaufman, TX 75142-1882
Phone (972) 932-1319

National Provider Directory

National Provider Directory

Locations

1011 W Grove St
Ste 120
Kaufman, TX 75142
Phone (972) 298-6677

Practitioners & affiliated clinicians

Practitioners 8

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": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1376732339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 W GROVE ST",
            "address_2": "SUITE 120",
            "city": "KAUFMAN",
            "state": "TX",
            "postal_code": "751421882",
            "telephone_number": "972-932-1319",
            "fax_number": "972-932-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W GROVE ST",
            "address_2": "SUITE 120",
            "city": "KAUFMAN",
            "state": "TX",
            "postal_code": "751421882",
            "telephone_number": "972-932-1319",
            "fax_number": "972-932-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "TURNER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "972-932-1319",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaufman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.