NPIMap

Organization Active NPI

Peter L Dy MD PA

  • Pediatrics Physician
  • Mission, TX
National Provider Identifier
1497760375
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PETER L DY MD PA
Practice address
2310 E Expwy 83
Suite 7
Mission, TX 78572
Phone
(956) 519-9511
Fax
(956) 519-9411
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Mrs. Julienna Dy
Title
Manager
Phone
(956) 283-8990

Specialties & licenses 1

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

Addresses

Primary practice location

2310 E Expwy 83
Suite 7
Mission, TX 78572

Mailing address

PO Box 2946
McAllen, TX 78502-2946
Phone (956) 519-9511

Other identifiers 1

IdentifierTypeStateIssuer
175442601MedicaidTX

Other names 1

  • Heavenly Childrens Pediatric Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Heavenly Children'S Pediatric 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.

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": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1497760375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2946",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785022946",
            "telephone_number": "956-519-9511",
            "fax_number": "956-519-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 E EXPWY 83",
            "address_2": "SUITE 7",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "78572",
            "telephone_number": "956-519-9511",
            "fax_number": "956-519-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER L DY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "DY",
        "authorized_official_first_name": "JULIENNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "956-283-8990",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175442601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heavenly Childrens Pediatric Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.