NPIMap

Organization Active NPI

Texas Digestive Disease Consultants PLLC

  • Gastroenterology Physician
  • Springdale, AR
National Provider Identifier
1508400425
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
TEXAS DIGESTIVE DISEASE CONSULTANTS PLLC
Practice address
3901 Parkway Cir Ste 550
Springdale, AR 72762-6362
Phone
(479) 346-1850
NPI assigned
Nov 4, 2019
Last updated
Apr 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Authorized official

Name
Kristina Kay Lowery
Title
Credentialing Manager
Phone
(317) 919-9025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

3901 Parkway Cir Ste 550
Springdale, AR 72762-6362

Mailing address

950 E State Highway 114 Ste 200
Southlake, TX 76092-5261
Phone (214) 424-2200

Other practice location 1

409 N University Ave
Little Rock, AR 72205-3108
Phone (501) 664-6980

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address giasouthcentral@directaddress.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191219000304 AR Part B Supplier - Clinic/Group Practice 3375531379 Receives reassigned benefits from 37 practitioners
Practice locations: Springdale, AR

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Walker and Richardson G9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3700 SE Dodson Rd
Ste 2
Bentonville, AR 72712
Phone (479) 763-3501

Practitioners & affiliated clinicians

Practitioners 38

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.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1508400425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 E STATE HIGHWAY 114 STE 200",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760925261",
            "telephone_number": "214-424-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 PARKWAY CIR STE 550",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626362",
            "telephone_number": "479-346-1850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 N University Ave",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722053108",
            "country_code": "US",
            "telephone_number": "501-664-6980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TEXAS DIGESTIVE DISEASE CONSULTANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-04",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "LOWERY",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "317-919-9025"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "giasouthcentral@directaddress.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3901 Parkway Cir Ste 550",
            "city": "Springdale",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727626362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.