Organization Active NPI

North Texas Rainbow Pediatrics PLLC

  • Pediatrics Physician
  • Garland, TX
National Provider Identifier
1619780863
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
NORTH TEXAS RAINBOW PEDIATRICS PLLC
Doing business as
North Texas Rainbow Pediatrics PLLC
Practice address
2231 Peggy LN Ste a
Garland, TX 75042-5708
Phone
(972) 272-3502
NPI assigned
Jan 30, 2025
Last updated
Jul 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Authorized official

Name
Jorge Luis Perez Negron
Title
Practice Administrator
Phone
(469) 441-0392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

2231 Peggy LN Ste a
Garland, TX 75042-5708

Mailing address

2231 Peggy LN Ste a
Garland, TX 75042-5708
Phone (972) 272-3502

Other names 1

  • NORTH TEXAS RAINBOW PEDIATRICS PLLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1738195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751328000000",
    "number": "1619780863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 PEGGY LN STE A",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425708",
            "telephone_number": "972-272-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 PEGGY LN STE A",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425708",
            "telephone_number": "972-272-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TEXAS RAINBOW PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A",
        "authorized_official_last_name": "PEREZ NEGRON",
        "authorized_official_first_name": "JORGE LUIS",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "469-441-0392"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH TEXAS RAINBOW PEDIATRICS PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; 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.