Organization Active NPI

David E. Samara, M.D., P.a.

Doing business as Pediatric Place

  • Pediatrics Physician
  • Plano, TX
National Provider Identifier
1467678029
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
DAVID E. SAMARA, M.D., P.A.
Doing business as
Pediatric Place
Practice address
3801 W 15TH St
Suite #D-120
Plano, TX 75075-4737
Phone
(972) 519-0545
Fax
(972) 964-0563
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kelle Maynard
Title
Billing Manager
Phone
(972) 519-0545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

3801 W 15TH St
Suite #D-120
Plano, TX 75075-4737

Mailing address

PO Box 260877
Plano, TX 75026-0877
Phone (972) 519-0545

Other names 1

  • Pediatric Place Doing business as

National Provider Directory

National Provider Directory

Locations

3801 W 15th St
Ste D120
Plano, TX 75075
Phone (972) 519-0545

Practitioners & affiliated clinicians

Practitioners 3

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": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467678029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260877",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750260877",
            "telephone_number": "972-519-0545",
            "fax_number": "972-612-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 W 15TH ST",
            "address_2": "SUITE #D-120",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750754737",
            "telephone_number": "972-519-0545",
            "fax_number": "972-964-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID E. SAMARA, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAYNARD",
        "authorized_official_first_name": "KELLE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "972-519-0545"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • 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.