Organization Active NPI

Pediatric People PLLC

  • Clinic/Center
  • Frisco, TX
National Provider Identifier
1457691248
Registry record updated Feb 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
5745 Issued in TX
Legal business name
PEDIATRIC PEOPLE PLLC
Practice address
11955 Dallas Pkwy
Suite 400
Frisco, TX 75033-4293
Phone
(214) 396-5200
Fax
(214) 504-1796
NPI assigned
Feb 15, 2013
Last updated
Feb 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2013

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

Authorized official

Name
Dr. Audra Renata Linck, M.D.NPI 1811053580
Title
Owner
Phone
(214) 396-5200

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
Clinic/Center 261Q00000X 5745 TX Primary

Addresses

Primary practice location

11955 Dallas Pkwy
Suite 400
Frisco, TX 75033-4293

Mailing address

11955 Dallas Pkwy
Suite 400
Frisco, TX 75033-4293
Phone (214) 396-5200

Other names 1

  • Pediatric People PLLC Former legal business name

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
45D2052392Pediatric People11955 Dallas Parkway, Suite 400, Frisco, TX 75033Certificate of waiverJan 8, 2027

National Provider Directory

National Provider Directory

Locations

11955 Dallas Pkwy
Ste 400
Frisco, TX 75033
Phone (214) 385-8001

Practitioners & affiliated clinicians

Practitioners 3

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": "1360886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360886400000",
    "number": "1457691248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11955 DALLAS PKWY",
            "address_2": "SUITE 400",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334293",
            "telephone_number": "214-396-5200",
            "fax_number": "214-504-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11955 DALLAS PKWY",
            "address_2": "SUITE 400",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334293",
            "telephone_number": "214-396-5200",
            "fax_number": "214-504-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PEOPLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-15",
        "last_updated": "2013-02-15",
        "status": "A",
        "authorized_official_last_name": "LINCK",
        "authorized_official_first_name": "AUDRA",
        "authorized_official_middle_name": "RENATA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-396-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "5745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric People PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; 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.