Organization Active NPI

Vernicka D. Porter-Sales, DO, PA

Doing business as Kidz 1st Pediatrics

  • Pediatrics Physician
  • San Antonio, TX
National Provider Identifier
1932345360
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L4650 Issued in TX
Legal business name
VERNICKA D. PORTER-SALES, DO, PA
Doing business as
Kidz 1st Pediatrics
Practice address
11398 Bandera Rd
Suite 201
San Antonio, TX 78250-6840
Phone
(210) 543-7334
Fax
(210) 543-7338
NPI assigned
Jan 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Authorized official

Name
Dr. Vernicka Dashawn Porter-Sales, DONPI 1952383838
Title
Owner/Pediatrician
Phone
(409) 899-5439

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 L4650 TX Primary

Addresses

Primary practice location

11398 Bandera Rd
Suite 201
San Antonio, TX 78250-6840

Mailing address

17634 Bear River LN
Humble, TX 77346-1558
Phone (409) 782-2434

Other identifiers 1

IdentifierTypeStateIssuer
152342501MedicaidTX

Other names 1

  • Kidz 1st Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

11398 Bandera Rd
Ste 201
San Antonio, TX 78250
Phone (210) 281-8669

Practitioners & affiliated clinicians

Practitioners 1

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": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378252800000",
    "number": "1932345360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17634 BEAR RIVER LN",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773461558",
            "telephone_number": "409-782-2434",
            "fax_number": "218-812-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11398 BANDERA RD",
            "address_2": "SUITE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782506840",
            "telephone_number": "210-543-7334",
            "fax_number": "210-543-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNICKA D. PORTER-SALES, DO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2013-09-04",
        "status": "A",
        "authorized_official_last_name": "PORTER-SALES",
        "authorized_official_first_name": "VERNICKA",
        "authorized_official_middle_name": "DASHAWN",
        "authorized_official_title_or_position": "OWNER/PEDIATRICIAN",
        "authorized_official_telephone_number": "409-899-5439",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L4650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152342501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kidz 1st Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.