Active NPI
Greater North Texas Pediatrics PA
- Pediatrics Physician
- Dallas, TX
National Provider Identifier
1720189491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G9023
- Legal business name
- GREATER NORTH TEXAS PEDIATRICS PA
- Practice address
- 12200 Park Central Drive #255
Dallas, TX 75251 - Phone
- (214) 553-0705
- Fax
- (214) 553-0706
- NPI assigned
- Sep 26, 2006
- 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
- Steven Todd Brockett
- Title
- Office Manager
- Phone
- (214) 553-0705
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G9023 | TX | Primary |
Addresses
Primary practice location
12200 Park Central Drive #255
Dallas, TX 75251
Mailing address
12200 Park Central Drive #255
Dallas, TX 75251
Phone (214) 553-0705
Other names 1
- Forest Hills Pediatrics PA
National Provider Directory
National Provider DirectoryLocations
12200 Park Central Dr
Ste 255
Dallas, TX 75251
Phone (214) 553-0705
9304 Forest Ln
Ste 150
Dallas, TX 75243
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Dallas, TX
- NPI 1447337605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718928000000",
"number": "1720189491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12200 PARK CENTRAL DRIVE #255",
"city": "DALLAS",
"state": "TX",
"postal_code": "75251",
"telephone_number": "214-553-0705",
"fax_number": "214-553-0706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12200 PARK CENTRAL DRIVE #255",
"city": "DALLAS",
"state": "TX",
"postal_code": "75251",
"telephone_number": "214-553-0705",
"fax_number": "214-553-0706"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREATER NORTH TEXAS PEDIATRICS PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-26",
"last_updated": "2024-06-21",
"certification_date": "2024-06-21",
"status": "A",
"authorized_official_last_name": "BROCKETT",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "TODD",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "214-553-0705"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "TX",
"license": "G9023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Forest Hills Pediatrics PA",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.