Active NPI
Debra A Naylor, M.D.
- Pediatrics Physician
- Flower Mound, TX
National Provider Identifier
1891791869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- L8145
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10043118 | Other | TX | AMERIGROUP |
| 1776676 | Other | TX | MCAID GRP TX HEALTH STEPS |
| NAYD124988 | Other | TX | CHIPS PROGRAM |
| 1737538 | Medicaid | TX | |
| 0072NC | Other | TX | BCBS GROUP |
| 8U6512 | Other | TX | BCBS 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
| License | State | Type | Specialty |
|---|---|---|---|
| L8145 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New 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
- dnaylor80660@direct.childrens.com
- 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.
-
- Pediatrics Physician
- Flower Mound, TX
- NPI 1437125101
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.