Organization Active NPI

Kidlungs Pediatric Pulmonology, PA

  • Specialist
  • Frisco, TX
National Provider Identifier
1649417577
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
J2461 Issued in TX
Legal business name
KIDLUNGS PEDIATRIC PULMONOLOGY, PA
Practice address
3550 Parkwood Blvd
BLDG G Suite 701
Frisco, TX 75034-1903
Phone
(214) 618-5437
Fax
(214) 618-8226
NPI assigned
Jan 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

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

Authorized official

Name
Dr. Richard M Rembecki, MD, PHD
Title
Owner
Phone
(214) 618-5437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X J2461 TX Primary

Addresses

Primary practice location

3550 Parkwood Blvd
BLDG G Suite 701
Frisco, TX 75034-1903

Mailing address

3550 Parkwood Blvd
BLDG G Suite 701
Frisco, TX 75034-1903
Phone (214) 618-5437

Other identifiers 3

IdentifierTypeStateIssuer
0025KCOtherTXBLUE CROSS
1151805-04MedicaidTX
F42580OtherTXUPIN

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1649417577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 PARKWOOD BLVD",
            "address_2": "BLDG G SUITE 701",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341903",
            "telephone_number": "214-618-5437",
            "fax_number": "214-618-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 PARKWOOD BLVD",
            "address_2": "BLDG G SUITE 701",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341903",
            "telephone_number": "214-618-5437",
            "fax_number": "214-618-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDLUNGS PEDIATRIC PULMONOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "REMBECKI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-618-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J2461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0025KC",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1151805-04",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "F42580",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; 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.