Individual provider Active NPI

Debra A Naylor, M.D.

  • Pediatrics Physician
  • Flower Mound, TX
National Provider Identifier
1891791869
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L8145 Issued in TX
Practice address
3041 Churchill Dr
Suite #300
Flower Mound, TX 75022-2706
Phone
(972) 691-1240
Fax
(972) 691-2073
NPI assigned
Jun 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X L8145 TX Primary

Addresses

Primary practice location

3041 Churchill Dr
Suite #300
Flower Mound, TX 75022-2706

Mailing address

3041 Churchill Dr
Suite #300
Flower Mound, TX 75022-2706
Phone (972) 691-1240

Other identifiers 6

IdentifierTypeStateIssuer
10043118OtherTXAMERIGROUP
1776676OtherTXMCAID GRP TX HEALTH STEPS
NAYD124988OtherTXCHIPS PROGRAM
1737538MedicaidTX
0072NCOtherTXBCBS GROUP
8U6512OtherTXBCBS INDIVIDUAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L8145TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
18 And Under MD, PA Pediatrics Current Accepting new patients
Debra a Naylor MD PA Pediatrics Current Accepting new patients

Locations

3041 Churchill Dr
Ste 300
Flower Mound, TX 75022
Phone (972) 691-1240

Interoperability endpoints

  • Direct secure messaging: dnaylor80660@direct.childrens.com
  • Direct secure messaging: nitehawk.debra.naylor@130848.advancedmd-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400544000000",
    "number": "1891791869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 CHURCHILL DR",
            "address_2": "SUITE #300",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750222706",
            "telephone_number": "972-691-1240",
            "fax_number": "972-691-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 CHURCHILL DR",
            "address_2": "SUITE #300",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750222706",
            "telephone_number": "972-691-1240",
            "fax_number": "972-691-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYLOR",
        "first_name": "DEBRA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-24",
        "last_updated": "2014-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L8145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10043118",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCAID GRP TX HEALTH STEPS",
            "identifier": "1776676",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIPS PROGRAM",
            "identifier": "NAYD124988",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1737538",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "0072NC",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL",
            "identifier": "8U6512",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.