Organization Active NPI

Lung Doctors for Children, PLLC

  • Pediatric Pulmonology Physician
  • Lewisville, TX
National Provider Identifier
1538439724
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
J2461 Issued in TX
Legal business name
LUNG DOCTORS FOR CHILDREN, PLLC
Practice address
751 W Main St
Suite 200
Lewisville, TX 75067-3513
Phone
(927) 219-5864
Fax
(972) 219-5866
NPI assigned
Jan 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Authorized official

Name
Dr. Richard M Rembecki, MD, PHD
Title
Managing Member
Phone
(469) 878-6185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Pulmonology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0214X J2461 TX Primary

Addresses

Primary practice location

751 W Main St
Suite 200
Lewisville, TX 75067-3513

Mailing address

751 W Main St
Suite 200
Lewisville, TX 75067-3513
Phone (927) 219-5864

Other identifiers 5

IdentifierTypeStateIssuer
2934692002OtherTXCIGNA
015857-0082OtherTXPACIFICARE
1151805-04MedicaidTX
2916754OtherTXAETNA
A003OtherTXTRICARE

National Provider Directory

National Provider Directory

Locations

751 W Main St
Ste 200
Lewisville, TX 75067
Phone (927) 219-5864

NPI Registry JSON

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1538439724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 W MAIN ST",
            "address_2": "SUITE 200",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673513",
            "telephone_number": "927-219-5864",
            "fax_number": "972-219-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 W MAIN ST",
            "address_2": "SUITE 200",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673513",
            "telephone_number": "927-219-5864",
            "fax_number": "972-219-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNG DOCTORS FOR CHILDREN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-05",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "REMBECKI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "469-878-6185",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "TX",
            "license": "J2461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2934692002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "015857-0082",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1151805-04",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2916754",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "A003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.