PEDIATRIC CENTER OF GRAND PRAIRIE
NPI 1114323862
Pediatrics in Grand Prairie, TX
NPI Status: Active since November 07, 2014
Contact Information
4927 LAKE RIDGE PKWY
SUITE 120
GRAND PRAIRIE, TX
ZIP 75052
Phone: (972) 401-0700
- Organization
- Pediatrics
- CLIA Number: 45D0905069
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-04-2026
About PEDIATRIC CENTER OF GRAND PRAIRIE
This page provides the complete NPI Profile along with additional information for Pediatric Center Of Grand Prairie, a pediatrician established in Grand Prairie, Texas operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1114323862 assigned on November 2014. The practitioner's primary taxonomy code is 208000000X with license number N6133 (TX). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Sue E Schleier (Physician)
- NPI
- 1114323862
- Provider Name
- PEDIATRIC CENTER OF GRAND PRAIRIE
- Entity Type
- Organization
- Location Address
- 4927 LAKE RIDGE PKWY SUITE 120 GRAND PRAIRIE, TX 75052
- Location Phone
- (972) 401-0700
- Mailing Address
- 701 TUSCAN DR SUITE 285 IRVING, TX 75039
- Mailing Phone
- (972) 401-0700
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-07-2014
- Last Update Date
- 11-07-2014
- Code Navigator
A pediatrician like Pediatric Center Of Grand Prairie is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- N6133
- License State
- TX
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D0905069
- Facility Type
- Physician Office
- Certificate Effective Date
- July 05, 2024
- Certificate Expiration Date
- July 04, 2026
- Laboratory Director
- S W. TOMECKO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pediatric Center Of Grand Prairie to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 1 | 1 | 4 | 3 | 2 | 3 | 8 | 6 | 2 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 1 | 2 | 4 | 6 | 2 | 6 | 8 | 12 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 1 + 2 + 4 + 6 + 2 + 6 + 8 + 1 + 2 + 24 = 58 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 58 = 2 | 2 |
The NPI number 1114323862 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
MARSHA COX
Nurse Practitioner
(Adult Health)
4927 LAKE RIDGE PKWY
GRAND PRAIRIE, TX
ZIP 75052
DR. RAMONA APPLEWHITE TAYLOR D.D.S.
Dentist
(General Practice)
4927 LAKE RIDGE PKWY
STE 140
GRAND PRAIRIE, TX
ZIP 75052
APPLEWHITE DENTAL PLLC
Dentist
4927 LAKE RIDGE PKWY
SUITE 140
GRAND PRAIRIE, TX
ZIP 75052
MRS. ASHLEIGH MILLS
Behavior Technician
4927 LAKE RIDGE PKWY
GRAND PRAIRIE, TX
ZIP 75052
LAKE RIDGE EYE CARE PA
Optometrist
4927 LAKE RIDGE PKWY
STE. 160
GRAND PRAIRIE, TX
ZIP 75052
DR. MIRANDA EFUA WELLINGTON M.D.
Family Medicine
4927 LAKE RIDGE PKWY
SUITE 100
GRAND PRAIRIE, TX
ZIP 75052
BRITTNEY ROBERTS
Behavior Technician
4927 LAKE RIDGE PKWY
GRAND PRAIRIE, TX
ZIP 75052
IRIS TURK
Behavior Technician
4927 LAKE RIDGE PKWY
GRAND PRAIRIE, TX
ZIP 75052
RAFAEL MARTINEZ
Behavior Technician
4927 LAKE RIDGE PKWY
GRAND PRAIRIE, TX
ZIP 75052
SYMBOLS BROWN RBT
Behavior Technician
4927 LAKE RIDGE PKWY
GRAND PRAIRIE, TX
ZIP 75052
DR. CAROLYN K KHA OD
Optometrist
4927 LAKE RIDGE PKWY
SUITE NUMBER 160
GRAND PRAIRIE, TX
ZIP 75052
DR. JEANEEN CHAPPELL M.D.
Dermatology
4927 LAKE RIDGE PKWY
GRAND PRAIRIE, TX
ZIP 75052
CLAIRE DILLOW
Behavior Analyst
4927 LAKE RIDGE PKWY
GRAND PRAIRIE, TX
ZIP 75052
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114323862, enumerated as an "organization" on November 07, 2014.
The provider is located at 4927 LAKE RIDGE PKWY SUITE 120 GRAND PRAIRIE, TX 75052 and the phone number is (972) 401-0700.
Pediatrics with taxonomy code 208000000X.