Active NPI
Soo Peen Chin, M.D.
- Pediatrics Physician
- Kingwood, TX
National Provider Identifier
1750373379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- J4042
- Practice address
- 20035 W Lake Houston Pkwy
100
Kingwood, TX 77346-3435 - Phone
- (281) 359-1000
- NPI assigned
- Aug 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | J4042 | TX | Primary |
Addresses
Primary practice location
20035 W Lake Houston Pkwy
100
Kingwood, TX 77346-3435
Mailing address
PO Box 841969
Dallas, TX 75284-1969
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J4042 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Family Care I, Inc | Pediatrics | Past | Accepting new patients |
| TCH Pediatric Associates, Inc | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- schin515@prddirect.texaschildrens.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Sugar Land, TX
- NPI 1861492654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750373379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 841969",
"city": "DALLAS",
"state": "TX",
"postal_code": "752841969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20035 W LAKE HOUSTON PKWY",
"address_2": "100",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773463435",
"telephone_number": "281-359-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIN",
"first_name": "SOO PEEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "J4042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingwood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.