Active NPI
Pediatrics of Dallas
- Pediatrics Physician
- Dallas, TX
National Provider Identifier
1801079579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- PEDIATRICS OF DALLAS
- Practice address
- 2301 S Hampton Rd
Suite # 500
Dallas, TX 75224-1650 - Phone
- (214) 331-0567
- Fax
- (214) 337-7779
- NPI assigned
- Dec 17, 2007
- 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
- Dr. Eduardo Velez, M.D.
- Title
- President
- Phone
- (214) 331-0567
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
2301 S Hampton Rd
Suite # 500
Dallas, TX 75224-1650
Mailing address
PO Box 4070
Dallas, TX 75208-0070
Phone (214) 331-0567
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142439203 | Medicaid | TX | |
| 142439202 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197849600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212710400000",
"number": "1801079579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4070",
"city": "DALLAS",
"state": "TX",
"postal_code": "752080070",
"telephone_number": "214-331-0567",
"fax_number": "214-337-7779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 S HAMPTON RD",
"address_2": "SUITE # 500",
"city": "DALLAS",
"state": "TX",
"postal_code": "752241650",
"telephone_number": "214-331-0567",
"fax_number": "214-337-7779"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRICS OF DALLAS",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-17",
"last_updated": "2008-06-06",
"status": "A",
"authorized_official_last_name": "VELEZ",
"authorized_official_first_name": "EDUARDO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "214-331-0567",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142439203",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142439202",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- Pediatric Perioperative Consultants of N. TX., PLLC
- Pediatric Plastic Surgery Institute Management, PA
- Pediatric Plastic Surgery, PLLC
- Pediatric Pulmonary and Sleep Specialists, LLP
- Pediatricians of Dallas, PA
- Pediatrics Primary Care Clinic (PPCC)
- Pediatrix Medical Group of Texas Billing, Inc.
- Pediatrix Primary Care of Texas PLLC
- Katie Colleen Pedicord, PA
- Pediplace
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.