Active NPI
Pediplace
- Pediatric Nurse Practitioner
- Dallas, TX
National Provider Identifier
1639509847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- Legal business name
- PEDIPLACE
- Practice address
- 7989 Belt Line Rd
#120
Dallas, TX 75248-5734 - Phone
- (469) 322-3662
- Fax
- (972) 353-5780
- NPI assigned
- Nov 25, 2013
- Last updated
- Nov 25, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Larry Robins
- Title
- President & Ceo
- Phone
- (469) 322-3663
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | NU | Primary |
Addresses
Primary practice location
7989 Belt Line Rd
#120
Dallas, TX 75248-5734
Mailing address
7989 Belt Line Rd
Suite 120
Dallas, TX 75248-5734
Phone (469) 322-3662
National Provider Directory
National Provider Directory- Tax ID family
- Pediplace
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatric Nurse Practitioner
- Lewisville, TX
- NPI 1467573311
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": "1385337600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1385337600000",
"number": "1639509847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7989 BELT LINE RD",
"address_2": "SUITE 120",
"city": "DALLAS",
"state": "TX",
"postal_code": "752485734",
"telephone_number": "469-322-3662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7989 BELT LINE RD",
"address_2": "#120",
"city": "DALLAS",
"state": "TX",
"postal_code": "752485734",
"telephone_number": "469-322-3662",
"fax_number": "972-353-5780"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIPLACE",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-25",
"last_updated": "2013-11-25",
"status": "A",
"authorized_official_last_name": "ROBINS",
"authorized_official_first_name": "LARRY",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "469-322-3663",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
- Pediatrics of Dallas
- Pediatrics Primary Care Clinic (PPCC)
- Pediatrix Medical Group of Texas Billing, Inc.
- Pediatrix Primary Care of Texas PLLC
- Katie Colleen Pedicord, PA
- Pedro a. Cruz ,M.D.,P.a.
- Pedro P Hani, MD, PA
- Annaleigh Michelle Pedroza, NNP-BC
- Estrella Pedroza, PA-C
- Joe Adrian Pedroza, ACNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.