Active NPI
Vernicka D. Porter-Sales, DO, PA
Doing business as Kidz 1st Pediatrics
- Pediatrics Physician
- San Antonio, TX
National Provider Identifier
1932345360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- L4650
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vernicka Dashawn Porter-Sales, DO
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152342501 | Medicaid | TX |
Other names 1
- Kidz 1st Pediatrics
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatrics Physician
- Humble, TX
- NPI 1952383838
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.