Daniel Vijjeswarapu M.D. P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

K7115 Issued in TX

Legal business name

DANIEL VIJJESWARAPU M.D. P.A.

Doing business as

Kids Doc CC

Practice address

3240 Fort Worth St
Suite 111
Corpus Christi, TX 78411-2459

Phone

(361) 814-8453

Fax

(361) 814-0487

NPI assigned

Dec 17, 2007

Last updated

Jan 5, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Vijjeswarapu, M.D.

Title

Ceo

Phone

(361) 814-8453

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Kids Doc CC Doing business as

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6945/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231113600000",
    "number": "1922281641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 FORT WORTH ST",
            "address_2": "SUITE 111",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112459",
            "telephone_number": "361-814-8453",
            "fax_number": "361-814-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 FORT WORTH ST",
            "address_2": "SUITE 111",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112459",
            "telephone_number": "361-814-8453",
            "fax_number": "361-814-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL VIJJESWARAPU M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2009-01-05",
        "status": "A",
        "authorized_official_last_name": "VIJJESWARAPU",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "361-814-8453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K7115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159629801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159629803",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127087807",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Doc CC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jonathan Dancel
• Andrea P Dang, PHARMD
• Dzung Duc Dang, DPM
• Tri Huu Dang, NP
• Daniel M Torres-Bayona (Coastal Orthodontics)
• Daniela Badea-Mic (Comprehensive Medical Care)
• Daniela Badea-Mic MD, PA
• Felicia Daniels
• Danniece Bobeche MSN WHNP PLLC
• Alexander Dao, DMD

• Pediatrics Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; 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.