NPIMap

Organization Active NPI

Silverlake Pediatric Clinc

  • Primary Care Clinic/Center
  • Pearland, TX
National Provider Identifier
1457736563
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
AP125437 Issued in TX
Legal business name
SILVERLAKE PEDIATRIC CLINC
Practice address
9721 Broadway St
Pearland, TX 77584-8169
Phone
(713) 436-3637
NPI assigned
Jul 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Authorized official

Name
Sherri Gary, CPNP
Title
PNP
Phone
(713) 436-3637

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X AP125437 TX Primary

Addresses

Primary practice location

9721 Broadway St
Pearland, TX 77584-8169

Mailing address

9721 Broadway St
Pearland, TX 77584-8169
Phone (713) 436-3637

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1457736563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9721 BROADWAY ST",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848169",
            "telephone_number": "713-436-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9721 BROADWAY ST",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848169",
            "telephone_number": "713-436-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVERLAKE PEDIATRIC CLINC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "GARY",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "PNP",
        "authorized_official_telephone_number": "713-436-3637",
        "authorized_official_credential": "CPNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "AP125437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.