Centennial Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

CENTENNIAL PEDIATRICS

Practice address

5560 Independence Pkwy
Frisco, TX 75035-4600

Phone

(214) 389-8801

Fax

(214) 389-8802

NPI assigned

Mar 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Chad David Guetersloh, M.D.NPI 1760552202

Title

President

Phone

(214) 389-8801

Specialties & licenses 1

Addresses

Other names 1

• Richardson Pediatrics Former legal business name

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

CLIA laboratory certificates

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chad Guetersloh, M.D.

  • Pediatrics Physician
  • Frisco, TX
  • NPI 1760552202
  NPD (past) Authorized official
• Laura McClendon, M.D.

  • Pediatrics Physician
  • Frisco, TX
  • NPI 1184836512
  NPD (past)
• Richard C Nail, M.D.

  • Pediatrics Physician
  • Frisco, TX
  • NPI 1245300789
  NPD (past)
• Christopher L Newton, M.D., PH.D.

  • Pediatrics Physician
  • Frisco, TX
  • NPI 1558431098
  NPD (past)
• Chad Richard Smith, M.D., FAAP

  • Pediatrics Physician
  • Allen, TX
  • NPI 1346475472
  NPD (past)
• Zachary Stone

  • Pediatrics Physician
  • Prosper, TX
  • NPI 1043771066
  NPD (past)

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1447219308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5560 INDEPENDENCE PKWY",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750354600",
            "telephone_number": "214-389-8801",
            "fax_number": "214-389-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5560 INDEPENDENCE PKWY",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750354600",
            "telephone_number": "214-389-8801",
            "fax_number": "214-389-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTENNIAL PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "GUETERSLOH",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-389-8801",
        "authorized_official_name_prefix": "Dr.",
        "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": [
        {
            "organization_name": "Richardson Pediatrics",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Centennial OB GYN PA
• Centennial OB GYN, P.a.
• Centennial Primary Care PLLC
• Center for Assisted Reproduction
• Center for Assisted Reproduction Laboratory and Surgery Center Inc
• Center for Marriage and Family Counseling
• Centra Diagnostics - Texas LLC

• Pediatrics Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.