NPIMap

Organization Active NPI

Pediatric Urgent Care of Denton, LP

Doing business as Just 4 Kids Urgent Care

  • Pediatrics Physician
  • Denton, TX
National Provider Identifier
1619535796
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEDIATRIC URGENT CARE OF DENTON, LP
Doing business as
Just 4 Kids Urgent Care
Practice address
2215 S Loop 288 Ste 322
Denton, TX 76205-4984
Phone
(817) 750-7334
Fax
(940) 320-1403
NPI assigned
Jun 3, 2019
Last updated
Jul 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Authorized official

Name
Madeline Broemsen, NPNPI 1750725792
Title
Owner
Phone
(940) 514-9543

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

2215 S Loop 288 Ste 322
Denton, TX 76205-4984

Mailing address

2215 S Loop 288 Ste 322
Denton, TX 76205-4984
Phone (817) 750-7334

Other practice location 1

2662 N Josey Ln Ste 218
Carrollton, TX 75007-5506
Phone (940) 514-9543

Other names 1

  • Just 4 Kids Urgent Care 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
45D2141714Pediatric Urgent Care Center - Denton2215 S Loop 288, Suite 322, Denton, TX 76205Certificate of waiverDec 18, 2027
45D2260973Pediatric Urgent Care of Denton2662 N Josey LN Suite 218, Carrollton, TX 75007Certificate of waiverMay 24, 2028

National Provider Directory

National Provider Directory

Locations

2662 N Josey Ln
Carrollton, TX 75007

2662 N Josey Ln
Ste 218
Carrollton, TX 75007
Phone (940) 514-9543

2215 S Loop 288
Ste 322
Denton, TX 76205
Phone (817) 267-0500

Practitioners & affiliated clinicians

Practitioners 12

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": "1559520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1619535796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 S LOOP 288 STE 322",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762054984",
            "telephone_number": "817-750-7334",
            "fax_number": "940-320-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 S LOOP 288 STE 322",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762054984",
            "telephone_number": "817-750-7334",
            "fax_number": "940-320-1403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2662 N Josey Ln Ste 218",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750075506",
            "country_code": "US",
            "telephone_number": "940-514-9543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEDIATRIC URGENT CARE OF DENTON, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-03",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "BROEMSEN",
        "authorized_official_first_name": "MADELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-514-9543",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Just 4 Kids Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.