Plano Children's Medical Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PLANO CHILDREN'S MEDICAL CLINIC

Practice address

1407 14TH St
Plano, TX 75074-6301

Phone

(972) 801-9689

Fax

(972) 801-9015

NPI assigned

Sep 29, 2006

Organization subpart

No

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

Authorized official

Name

Susan Shuler

Title

Executive Director

Phone

(972) 801-9689

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Plano Children's Medical Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Plano Children's Medical Clinic

  • Pediatrics Physician
  • Wylie, TX
  • NPI 1205133287
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Plano Children's Medical Clinic

  • Pediatrics Physician
  • Wylie, TX
  • NPI 1205133287
  NPPES parent name

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457443095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 14TH ST",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750746301",
            "telephone_number": "972-801-9689",
            "fax_number": "972-801-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 14TH ST",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750746301",
            "telephone_number": "972-801-9689",
            "fax_number": "972-801-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANO CHILDREN'S MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHULER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "972-801-9689"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9832",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Plano Apothecary LP (ReNue Rx 2- TELP)
• Plano Behavioral Helath, PLLC
• Plano Birth Place
• Plano Center for Aesthetic Dentistry
• Plano Center for Surgical Arts LLC
• Plano Clinic Inc
• Plano Continuing Care Center LTD. Co. (Carrara)
• Plano Counseling Center
• Plano Dental Imaging, PLLC
• Plano Dental Loft PLLC (Plano Dental Loft)

• Primary Care Clinic/Center in Plano, TX
• Providers in Plano, TX by specialty
• Primary Care Clinic/Center in Texas

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.