Active NPI
Dandelion Pediatric Therapy, PLLC
- Speech-Language Pathologist
- Spring, TX
National Provider Identifier
1508562307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- DANDELION PEDIATRIC THERAPY, PLLC
- Practice address
- 24624 Interstate 45 N Ste 200
Spring, TX 77386-4084 - Phone
- (713) 201-5624
- NPI assigned
- Feb 2, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew McClure
- Title
- Owner
- Phone
- (713) 201-5624
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
24624 Interstate 45 N Ste 200
Spring, TX 77386-4084
Mailing address
12607 Beddington CT
Tomball, TX 77375-1357
Phone (713) 201-5624
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675382400000",
"number": "1508562307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12607 BEDDINGTON CT",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773751357",
"telephone_number": "713-201-5624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24624 INTERSTATE 45 N STE 200",
"city": "SPRING",
"state": "TX",
"postal_code": "773864084",
"telephone_number": "713-201-5624"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANDELION PEDIATRIC THERAPY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-02",
"last_updated": "2023-02-03",
"certification_date": "2023-02-03",
"status": "A",
"authorized_official_last_name": "MCCLURE",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "713-201-5624"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.