Individual provider Active NPI

Lori Lynn Accordino, MD

  • Pediatrics Physician
  • Dallas, TX
National Provider Identifier
1447337605
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G9023 Issued in TX
Practice address
12200 Park Central Dr Ste 255
Dallas, TX 75251-3220
Phone
(214) 553-0705
Fax
(214) 553-0706
NPI assigned
Nov 1, 2006
Last updated
Jun 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G9023 TX Primary

Addresses

Primary practice location

12200 Park Central Dr Ste 255
Dallas, TX 75251-3220

Mailing address

12200 Park Central Dr Ste 255
Dallas, TX 75251-3220
Phone (214) 553-0705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G9023TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater North Texas Pediatrics PA Pediatrics CurrentSince Oct 2, 2022 Accepting new patients
Columbia Hospital at Medical City Dallas Subsidiary LP Past Accepting new patients
Columbia Medical Center of Plano Subsidiary LP Past Accepting new patients

Locations

12200 Park Central Dr
Ste 255
Dallas, TX 75251
Phone (214) 553-0705

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1447337605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 PARK CENTRAL DR STE 255",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752513220",
            "telephone_number": "214-553-0705",
            "fax_number": "214-553-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 PARK CENTRAL DR STE 255",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752513220",
            "telephone_number": "214-553-0705",
            "fax_number": "214-553-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACCORDINO",
        "first_name": "LORI",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "G9023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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, 2024; 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.