NPIMap

Organization Active NPI

Arlington Prime Pediatrics

  • Clinic/Center
  • Arlington, TX
National Provider Identifier
1477000552
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
K4753 Issued in TX
Legal business name
ARLINGTON PRIME PEDIATRICS
Practice address
3125 Matlock Rd
Suite 108
Arlington, TX 76015-2920
Phone
(817) 468-3911
NPI assigned
Sep 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

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

Authorized official

Name
Dr. Anna Nelson, M.D.NPI 1841677341
Title
President
Phone
(817) 938-7227

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 K4753 TX Primary

Addresses

Primary practice location

3125 Matlock Rd
Suite 108
Arlington, TX 76015-2920

Mailing address

3125 Matlock Rd
Suite 108
Arlington, TX 76015-2920
Phone (817) 468-3911

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1477000552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 MATLOCK RD",
            "address_2": "SUITE 108",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152920",
            "telephone_number": "817-468-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 MATLOCK RD",
            "address_2": "SUITE 108",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152920",
            "telephone_number": "817-468-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLINGTON PRIME PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-938-7227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "K4753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; 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.