Organization Active NPI

New Braunfels Pediatric Associates, P.a.

  • Pediatrics Physician
  • New Braunfels, TX
National Provider Identifier
1790819993
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
NEW BRAUNFELS PEDIATRIC ASSOCIATES, P.A.
Practice address
1535 East Common
New Braunfels, TX 78103
Phone
(830) 625-9153
Fax
(830) 609-0572
NPI assigned
Mar 16, 2007
Last updated
Sep 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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

Authorized official

Name
Timothy Wayne Owens, M.D.NPI 1831168483
Title
Owner,Partner
Phone
(830) 625-9153

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X TX Primary

Addresses

Primary practice location

1535 East Common
New Braunfels, TX 78103

Mailing address

1535 East Common
New Braunfels, TX 78103
Phone (830) 625-9153

Other identifiers 1

IdentifierTypeStateIssuer
00L31BOtherTXGROUP BCBS

National Provider Directory

National Provider Directory

Locations

1535 E Common St
New Braunfels, TX 78130
Phone (830) 625-9153

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1790819993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 EAST COMMON",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "78103",
            "telephone_number": "830-625-9153",
            "fax_number": "830-609-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 EAST COMMON",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "78103",
            "telephone_number": "830-625-9153",
            "fax_number": "830-609-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BRAUNFELS PEDIATRIC ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER,PARTNER",
        "authorized_official_telephone_number": "830-625-9153",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BCBS",
            "identifier": "00L31B",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.

Verify at the official NPI Registry.