Active NPI
Kidlungs Pediatric Pulmonology, PA
- Specialist
- Frisco, TX
National Provider Identifier
1649417577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- J2461
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0025KC | Other | TX | BLUE CROSS |
| 1151805-04 | Medicaid | TX | |
| F42580 | Other | TX | UPIN |
National Provider Directory
National Provider DirectoryNPI 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.