Organization Active NPI

Dr. Pepermintwala PLLC

Doing business as West Texas Psychiatry

  • Child & Adolescent Psychiatry Physician
  • Midland, TX
National Provider Identifier
1609320464
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
K4525 Issued in TX
Legal business name
DR. PEPERMINTWALA PLLC
Doing business as
West Texas Psychiatry
Practice address
4214 Andrews Hwy Ste 108
Midland, TX 79703-4813
Phone
(432) 218-9920
Fax
(432) 218-9356
NPI assigned
Aug 10, 2016
Last updated
Aug 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Authorized official

Name
Dr. Shamsuddin Pepermintwala, M.D.NPI 1316035546
Title
Owner
Phone
(432) 218-9920

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X K4525 TX Primary

Addresses

Primary practice location

4214 Andrews Hwy Ste 108
Midland, TX 79703-4813

Mailing address

4214 Andrews Hwy Ste 108
Midland, TX 79703-4813
Phone (432) 218-9920

Other names 1

  • West Texas Psychiatry Doing business as

National Provider Directory

National Provider Directory

Locations

4214 Andrews Hwy
Ste 108
Midland, TX 79703
Phone (432) 522-5000

Practitioners & affiliated clinicians

Practitioners 1

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": "1470787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1609320464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4214 ANDREWS HWY STE 108",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797034813",
            "telephone_number": "432-218-9920",
            "fax_number": "432-218-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4214 ANDREWS HWY STE 108",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797034813",
            "telephone_number": "432-218-9920",
            "fax_number": "432-218-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PEPERMINTWALA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "PEPERMINTWALA",
        "authorized_official_first_name": "SHAMSUDDIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-218-9920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "K4525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Texas Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.