Organization Active NPI

First Steps Pediatrics, PLLC

  • Pediatrics Physician
  • San Antonio, TX
National Provider Identifier
1700020682
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
K2944 Issued in TX
Legal business name
FIRST STEPS PEDIATRICS, PLLC
Practice address
9910 W. Loop 1604 N.
Suite 124
San Antonio, TX 78254
Phone
(210) 692-0358
Fax
(210) 692-0359
NPI assigned
Apr 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Authorized official

Name
Dr. Bruce Richard Lantry, M.D.NPI 1558371070
Title
Managing Member
Phone
(210) 692-0358

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 K2944 TX Primary

Addresses

Primary practice location

9910 W. Loop 1604 N.
Suite 124
San Antonio, TX 78254

Mailing address

9910 W. Loop 1604 N.
Suite 124
San Antonio, TX 78254
Phone (210) 692-0358

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
45D0955131First Steps Pediatrics PLLC9910 West Loop 1604 North, Suite 124, San Antonio, TX 78254Certificate of waiverJan 6, 2028

National Provider Directory

National Provider Directory

Locations

9910 W Loop 1604 N
Ste 124
San Antonio, TX 78254
Phone (210) 692-0358

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1700020682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9910 W. LOOP 1604 N.",
            "address_2": "SUITE 124",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78254",
            "telephone_number": "210-692-0358",
            "fax_number": "210-692-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9910 W. LOOP 1604 N.",
            "address_2": "SUITE 124",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78254",
            "telephone_number": "210-692-0358",
            "fax_number": "210-692-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST STEPS PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "LANTRY",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "210-692-0358",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K2944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; 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.