Organization Active NPI

Robert Dickey Peterson MD LTD LLP

  • Plastic Surgery Physician
  • Houston, TX
National Provider Identifier
1760748321
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
E1225 Issued in TX
Legal business name
ROBERT DICKEY PETERSON MD LTD LLP
Practice address
17070 Red Oak Dr
Suite 500
Houston, TX 77090-2619
Phone
(281) 893-4144
Fax
(281) 583-2375
NPI assigned
Apr 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Authorized official

Name
Ms. Shawn M Byrnes
Title
Practice Coordinator
Phone
(281) 893-4144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X E1225 TX Primary

Addresses

Primary practice location

17070 Red Oak Dr
Suite 500
Houston, TX 77090-2619

Mailing address

17070 Red Oak Drive
Suite 500
Houston, TX 77090
Phone (281) 893-4144

National Provider Directory

National Provider Directory

Locations

17070 Red Oak Dr
Ste 500
Houston, TX 77090
Phone (281) 893-4144

NPI Registry JSON

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1760748321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17070 RED OAK DRIVE",
            "address_2": "SUITE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77090",
            "telephone_number": "281-893-4144",
            "fax_number": "281-583-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17070 RED OAK DR",
            "address_2": "SUITE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902619",
            "telephone_number": "281-893-4144",
            "fax_number": "281-583-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT DICKEY PETERSON MD LTD LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-09",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "BYRNES",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE COORDINATOR",
        "authorized_official_telephone_number": "281-893-4144",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "E1225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.