Eastside Children'S Clinic, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

EASTSIDE CHILDREN'S CLINIC, PLLC

Practice address

311 N Allen Dr
Allen, TX 75013

Phone

(972) 623-8218

NPI assigned

Nov 5, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Sonal Jain, MDNPI 1770600538

Title

Physician

Phone

(972) 623-8218

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sonal Jain, M.D.

  • Pediatrics Physician
  • Allen, TX
  • NPI 1770600538
  NPD (past) Authorized official
• Nazia Baig, MD

  • Pediatrics Physician
  • Allen, TX
  • NPI 1326239500
  NPD (past)
• Cynthia W Hargrove, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Frisco, TX
  • NPI 1407330624
  NPD (past)
• Elizabeth M Wong, APRN,PNP-PC

  • Pediatric Nurse Practitioner
  • Houston, TX
  • NPI 1134786288
  NPD (past)
• Deepika Minnal, M.D.

  • Pediatrics Physician
  • Santa Rosa, CA
  • NPI 1568426161
  NPD (past)

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556841600000",
    "number": "1881162287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N ALLEN DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750132539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N ALLEN DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "75013",
            "telephone_number": "972-623-8218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "619 W Fm 544 Ste 1B",
            "address_purpose": "LOCATION",
            "city": "Murphy",
            "state": "TX",
            "postal_code": "750944587",
            "country_code": "US",
            "telephone_number": "972-424-7915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EASTSIDE CHILDREN'S CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-05",
        "last_updated": "2019-05-03",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "SONAL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "972-623-8218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Allen, TX
• Providers in Allen, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.