Organization Active NPI

Dallas Healthcare for Children

  • Pediatrics Physician
  • Dallas, TX
National Provider Identifier
1932336476
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L3841 Issued in TX
Legal business name
DALLAS HEALTHCARE FOR CHILDREN
Practice address
4131 S Buckner Blvd
Suite a
Dallas, TX 75227-4336
Phone
(214) 388-0202
NPI assigned
Jun 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Authorized official

Name
Dr. Stephanie Ann Porter, M.D.NPI 1154349389
Title
President
Phone
(214) 388-0202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X L3841 TX Primary

Addresses

Primary practice location

4131 S Buckner Blvd
Suite a
Dallas, TX 75227-4336

Mailing address

4131 S Buckner Blvd
Suite a
Dallas, TX 75227-4318
Phone (214) 388-0202

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1095235Dallas Healthcare for Children4131 S Buckner, Dallas, TX 75227Certificate of waiverFeb 3, 2027

National Provider Directory

National Provider Directory

Locations

4131 S Buckner Blvd
#A
Dallas, TX 75227
Phone (214) 388-0202

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12984/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1932336476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 S BUCKNER BLVD",
            "address_2": "SUITE A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752274318",
            "telephone_number": "214-388-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 S BUCKNER BLVD",
            "address_2": "SUITE A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752274336",
            "telephone_number": "214-388-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS HEALTHCARE FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-11",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-388-0202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L3841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.