Active NPI
Denton Pediatric Physicians PLLC
- Pediatrics Physician
- Denton, TX
National Provider Identifier
1528230331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- DENTON PEDIATRIC PHYSICIANS PLLC
- Practice address
- 3537 S I-35 E
Suite 207
Denton, TX 76210-6800 - Phone
- (940) 565-1222
- Fax
- (940) 565-1220
- NPI assigned
- Apr 1, 2008
- 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
- Jeff Henderson
- Title
- President
- Phone
- (972) 401-8720
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
3537 S I-35 E
Suite 207
Denton, TX 76210-6800
Mailing address
3537 S I-35 E
Suite 207
Denton, TX 76210-6800
Phone (940) 565-1222
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0003RH | Other | TX | BLUE CROSS BLUE SHIELD |
| 194449801 | Medicaid | TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Denton, TX
- NPI 1902018922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224028800000",
"number": "1528230331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3537 S I-35 E",
"address_2": "SUITE 207",
"city": "DENTON",
"state": "TX",
"postal_code": "762106800",
"telephone_number": "940-565-1222",
"fax_number": "940-565-1220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3537 S I-35 E",
"address_2": "SUITE 207",
"city": "DENTON",
"state": "TX",
"postal_code": "762106800",
"telephone_number": "940-565-1222",
"fax_number": "940-565-1220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTON PEDIATRIC PHYSICIANS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-01",
"last_updated": "2008-10-15",
"status": "A",
"authorized_official_last_name": "HENDERSON",
"authorized_official_first_name": "JEFF",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "972-401-8720"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0003RH",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "194449801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denton, TX
- Denton Oncology Center, P.a.
- Denton Optical Company
- Denton Optometry, Inc.
- Denton Oral and Maxillofacial Surgery Associates
- Denton Pain Management Center, LLC
- Denton Podiatry PLLC
- Denton Professional Medical Group,PLLC
- Denton Psychological Services, PLLC
- Denton Pulmonary Clinic, PA
- Denton Regional Ambulatory Surgery Center, L.P.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.