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LITTLE ELM FRISCO CHILDREN'S CLINIC
NPI 1083911622
Pediatrics in Frisco, TX

Active since February 17, 2011CLIA 45D2022655 · Waiver
12398 FM 423, SUITE 600, FRISCO, TX 75033(214) 494-4622(214) 494-4609 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Little Elm Frisco Children's Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LITTLE ELM FRISCO CHILDREN'S CLINIC (NPI 1083911622) is a healthcare organization registered as a pediatrics in Frisco, Texas and active in the NPI registry since February 2011. The organization holds a CLIA Waiver certificate valid through April 5, 2027 and lists Prem P Gupta, Partner, as its authorized official.

NPPES Registry Identity

NPI1083911622
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameLITTLE ELM FRISCO CHILDREN'S CLINIC
Location Address12398 FM 423, SUITE 600Frisco, TX 75033-0158
Mailing Address12398 Fm 423, Suite 600Frisco, TX 75033-0158 · (214) 494-4622 · Fax (214) 494-4609
Phone(214) 494-4622
Fax(214) 494-4609
Organization SubpartYesParent: Little Elm-frisco Children's Clinic Pllc
Authorized OfficialPrem P GuptaPartner · (214) 494-4622
Enumeration DateFebruary 17, 2011
Last NPPES UpdateJanuary 11, 2023
NPPES CertifiedJanuary 11, 2023
✔ NPI 1083911622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in TX · F7772✔ Licensed in TX · F8878
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
12398 FM 423, Frisco, TX 75033
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Other Identifiers 5

Medicaid24778NM
Medicaid126877306TX
Medicaid220282201TX
Medicaid133070608TX
Medicaid220282202TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2022655

Little Elm Frisco Children's Clinic · Frisco, TX
Active · expires Apr 5, 2027
CLIA Number45D2022655
Laboratory TypePhysician Office
Certificate Effective DateApril 6, 2025
Certificate Expiration DateApril 5, 2027
Laboratory DirectorDeepa Ganeshan
Laboratory Phone(214) 494-4622
Laboratory LocationLittle Elm Frisco Children's Clinic12398 Fm 423 Suite 600, Frisco, TX 75033
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PARYA ETEBARI D.D.S.
Dentist (Pediatric Dentistry)
12398 FM 423, SUITE 1900
FRISCO, TX 75033
Denton County (214) 436-4774
BEYOND INNOVATION CHIROPRACTIC, LLC
Chiropractor
12398 FM 423, SUITE 300
FRISCO, TX 75033
Denton County (615) 856-5542
MILA DAVIS DDS, PC
Dentist
12398 FM 423, SUITE 1900
FRISCO, TX 75033
Denton County (214) 436-4774
MILA DAVIS, DDS, PC
Dentist (Pediatric Dentistry)
12398 FM 423, SUITE 1900
FRISCO, TX 75033
Denton County (214) 436-4774

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Little Elm Frisco Children's Clinic's NPI number?

The NPI number for Little Elm Frisco Children's Clinic is 1083911622. It was assigned to this organization in the NPPES registry on February 17, 2011.

Where is Little Elm Frisco Children's Clinic located?

Little Elm Frisco Children's Clinic is located at 12398 Fm 423 Suite 600, Frisco, TX 75033. The listed phone number is (214) 494-4622.

What is Little Elm Frisco Children's Clinic's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Little Elm Frisco Children's Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2022655) is associated with this NPI, valid through April 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Little Elm Frisco Children's Clinic accept?

Health plans from Molina Healthcare list Little Elm Frisco Children's Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Little Elm Frisco Children's Clinic was last updated on January 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.