Organization Active NPI

Childgrove Pediatrics

  • Legal Medicine
  • Coppell, TX
National Provider Identifier
1568657658
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
J2379 Issued in TX
Legal business name
CHILDGROVE PEDIATRICS
Practice address
150 S Denton Tap Rd Ste 116
Coppell, TX 75019-3323
Phone
(972) 304-0091
Fax
(972) 393-0959
NPI assigned
Sep 11, 2007
Last updated
Sep 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Authorized official

Name
Sharon Babcock
Title
Office Manager
Phone
(972) 304-0091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X J2379 TX Primary

Addresses

Primary practice location

150 S Denton Tap Rd Ste 116
Coppell, TX 75019-3323

Mailing address

150 S Denton Tap Rd Ste 116
Coppell, TX 75019-3323
Phone (972) 304-0091

National Provider Directory

National Provider Directory

Locations

150 S Denton Tap Rd
Ste 116
Coppell, TX 75019
Phone (972) 304-0091

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1568657658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S DENTON TAP RD STE 116",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750193323",
            "telephone_number": "972-304-0091",
            "fax_number": "972-393-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S DENTON TAP RD STE 116",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750193323",
            "telephone_number": "972-304-0091",
            "fax_number": "972-393-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDGROVE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "BABCOCK",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-304-0091"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "TX",
            "license": "J2379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.