Park Cities Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

P2166 Issued in TX

Legal business name

PARK CITIES PEDIATRICS

Practice address

8215 Westchester Dr Ste 111
Dallas, TX 75225-6109

Phone

(214) 361-7185

Fax

(214) 373-4841

NPI assigned

Jul 20, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Amy Diane Casey, RMA

Title

Nurse, Billing Manager

Phone

(214) 361-7185

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

Locations

Practitioners 2

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

• Tiffany Jane Lieu, MD

  • Pediatrics Physician
  • Dallas, TX
  • NPI 1023436193
  NPD (past)
• Matthew Leonard Simon, M.D.

  • Pediatrics Physician
  • Dallas, TX
  • NPI 1790927101
  NPD (past)

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1922353473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8215 WESTCHESTER DR STE 111",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256109",
            "telephone_number": "214-361-7185",
            "fax_number": "214-373-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8215 WESTCHESTER DR STE 111",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256109",
            "telephone_number": "214-361-7185",
            "fax_number": "214-373-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK CITIES PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-20",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "NURSE, BILLING MANAGER",
        "authorized_official_telephone_number": "214-361-7185",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RMA"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P2166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park Cities Health Services LLC
• Park Cities Midwifery PLLC (Modern Women's Wellness and Midwifery)
• Park Cities Oral & Maxillofacial Surgery Assoc. PA
• Park Cities Oral Surgery PLLC
• Park Cities Orthodontics PA
• Park Cities Psychiatry, P.a.
• Park Cities Sleep Center, LLP
• Park Cities Speech, Language & Learning
• Park Cities Weightloss Clinic, LLC (Medi-Weightloss Clinics)
• Park Cities Wellness Plus LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; 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.