Rockwall Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

J5444 Issued in TX

Legal business name

ROCKWALL PEDIATRICS

Practice address

2504 Ridge Rd
Suite 102
Rockwall, TX 75087-2569

Phone

(972) 771-1794

Fax

(972) 771-1648

NPI assigned

Mar 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kurt L Pflieger, M.D.NPI 1174534606

Title

President

Phone

(972) 771-1794

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8102/brand/1/csg/1/fhir/r4

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.

• Kurt L Pflieger, M.D.

  • Pediatrics Physician
  • Rockwall, TX
  • NPI 1174534606
  Authorized official Same address or phone

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710003264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 RIDGE RD",
            "address_2": "SUITE 102",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750872569",
            "telephone_number": "972-771-1794",
            "fax_number": "972-771-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 RIDGE RD",
            "address_2": "SUITE 102",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750872569",
            "telephone_number": "972-771-1794",
            "fax_number": "972-771-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKWALL PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PFLIEGER",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-771-1794",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J5444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.