Organization Active NPI

Aaron L. Kreisler, M.D. P.a.

  • Pediatrics Physician
  • Dallas, TX
National Provider Identifier
1851756977
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D3304 Issued in TX
Legal business name
AARON L. KREISLER, M.D. P.A.
Practice address
1151 N Buckner Blvd # PB1
Suite 203
Dallas, TX 75218-3426
Phone
(214) 324-4221
Fax
(214) 324-3805
NPI assigned
Dec 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Authorized official

Name
Dr. Aaron L. Kreisler, M.D.
Title
Physician
Phone
(214) 324-4221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X D3304 TX Primary

Addresses

Primary practice location

1151 N Buckner Blvd # PB1
Suite 203
Dallas, TX 75218-3426

Mailing address

1151 N Buckner Blvd # PB1
Suite 203
Dallas, TX 75218-3426
Phone (214) 324-4221

Other identifiers 2

IdentifierTypeStateIssuer
137275702MedicaidTX
137275708MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1851756977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 N BUCKNER BLVD # PB1",
            "address_2": "SUITE 203",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183426",
            "telephone_number": "214-324-4221",
            "fax_number": "214-324-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 N BUCKNER BLVD # PB1",
            "address_2": "SUITE 203",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183426",
            "telephone_number": "214-324-4221",
            "fax_number": "214-324-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AARON L. KREISLER, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "KREISLER",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "214-324-4221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "D3304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137275702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137275708",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.