Organization Active NPI

Well Child Pediatrics, PLLC

  • Pediatrics Physician
  • Richmond, TX
National Provider Identifier
1962709394
Registry record updated Jul 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
WELL CHILD PEDIATRICS, PLLC
Practice address
26440 FM 1093 Rd
Suite 350
Richmond, TX 77406-7201
Phone
(281) 333-1062
Fax
(281) 335-4529
NPI assigned
Feb 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2011

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

Authorized official

Name
Dr. Shailaja Reddy Kancherla, M..D
Title
Physician
Phone
(919) 655-8061

Specialties & licenses 1

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

Addresses

Primary practice location

26440 FM 1093 Rd
Suite 350
Richmond, TX 77406-7201

Mailing address

22703 Shannon Falls CT
Katy, TX 77494-2259
Phone (919) 655-8061

National Provider Directory

National Provider Directory

Locations

26440 FM 1093 Rd
Ste 350
Richmond, TX 77406
Phone (832) 987-4831

NPI Registry JSON

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

{
    "created_epoch": "1298246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310083200000",
    "number": "1962709394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22703 SHANNON FALLS CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942259",
            "telephone_number": "919-655-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26440 FM 1093 RD",
            "address_2": "SUITE 350",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774067201",
            "telephone_number": "281-333-1062",
            "fax_number": "281-335-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL CHILD PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-21",
        "last_updated": "2011-07-08",
        "status": "A",
        "authorized_official_last_name": "KANCHERLA",
        "authorized_official_first_name": "SHAILAJA",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "919-655-8061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M..D"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; 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.