Active NPI
Kids Clinic of Paris LLC
- Primary Care Clinic/Center
- Paris, TX
National Provider Identifier
1710449566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- KIDS CLINIC OF PARIS LLC
- Practice address
- 345 Stone Ave
Paris, TX 75460 - Phone
- (903) 280-7716
- NPI assigned
- Apr 2, 2019
- 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. Josh Craig
- Title
- Manager/Owner
- Phone
- (903) 280-7716
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | |||
| Primary Care Clinic/Center | 261QP2300X | Primary | ||
| Pediatric Nurse Practitioner | 363LP0200X |
Addresses
Primary practice location
345 Stone Ave
Paris, TX 75460
Mailing address
345 Stone Ave
Paris, TX 75460-9309
Phone (903) 280-7716
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720457609 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | josh.craig@kidsclinicparis.com | Direct |
National Provider Directory
National Provider DirectoryLocations
345 Stone Ave
Paris, TX 75460
Phone (903) 280-7716
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": "1554163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724284800000",
"number": "1710449566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 STONE AVE",
"city": "PARIS",
"state": "TX",
"postal_code": "754609309",
"telephone_number": "903-280-7716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 STONE AVE",
"city": "PARIS",
"state": "TX",
"postal_code": "75460",
"telephone_number": "903-280-7716"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDS CLINIC OF PARIS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-02",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A",
"authorized_official_last_name": "CRAIG",
"authorized_official_first_name": "JOSH",
"authorized_official_title_or_position": "MANAGER/OWNER",
"authorized_official_telephone_number": "903-280-7716",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1720457609",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "josh.craig@kidsclinicparis.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "345 Stone Ave",
"city": "Paris",
"state": "TX",
"country_code": "US",
"postal_code": "75460",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Paris, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.