NPIMap

Organization Active NPI

Pediatricians of Dallas, PA

Doing business as Pediatricians of Dallas

  • Primary Care Clinic/Center
  • Dallas, TX
National Provider Identifier
1619036845
Registry record updated Jul 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PEDIATRICIANS OF DALLAS, PA
Doing business as
Pediatricians of Dallas
Practice address
8325 Walnut Hill LN
Suite 225
Dallas, TX 75231-4208
Phone
(214) 691-3535
Fax
(214) 691-1044
NPI assigned
Dec 6, 2006
Last updated
Jul 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2009

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

Authorized official

Name
Mrs. Donna Marie Ryde
Title
Credential Manager
Phone
(214) 691-3535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X TX Primary

Addresses

Primary practice location

8325 Walnut Hill LN
Suite 225
Dallas, TX 75231-4208

Mailing address

8325 Walnut Hill LN
Suite 225
Dallas, TX 75231-4208
Phone (214) 691-3535

Other names 1

  • Pediatricians of Dallas Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0956647Pediatricians of Dallas PA8325 Walnut Hill Lane Suite 225, Dallas, TX 75231Certificate of waiverFeb 1, 2027

National Provider Directory

National Provider Directory

Locations

8325 Walnut Hill Ln
Ste 225
Dallas, TX 75231
Phone (214) 691-3535

Practitioners & affiliated clinicians

Practitioners 11

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": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248739200000",
    "number": "1619036845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8325 WALNUT HILL LN",
            "address_2": "SUITE 225",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314208",
            "telephone_number": "214-691-3535",
            "fax_number": "214-691-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8325 WALNUT HILL LN",
            "address_2": "SUITE 225",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314208",
            "telephone_number": "214-691-3535",
            "fax_number": "214-691-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICIANS OF DALLAS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2009-07-28",
        "status": "A",
        "authorized_official_last_name": "RYDE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CREDENTIAL MANAGER",
        "authorized_official_telephone_number": "214-691-3535",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatricians of Dallas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.