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

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  • 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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SUE E SCHLEIER

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(972) 401-0700

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.
1114323862
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2124626812
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 = 22

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

(972) 641-9000

DR. RAMONA APPLEWHITE TAYLOR D.D.S.

Dentist

(General Practice)

4927 LAKE RIDGE PKWY
STE 140
GRAND PRAIRIE, TX
ZIP 75052

(817) 591-7800

APPLEWHITE DENTAL PLLC

Dentist

4927 LAKE RIDGE PKWY
SUITE 140
GRAND PRAIRIE, TX
ZIP 75052

(817) 913-3537

MRS. ASHLEIGH MILLS

Behavior Technician

4927 LAKE RIDGE PKWY
GRAND PRAIRIE, TX
ZIP 75052

(866) 206-2008

LAKE RIDGE EYE CARE PA

Optometrist

4927 LAKE RIDGE PKWY
STE. 160
GRAND PRAIRIE, TX
ZIP 75052

(972) 641-5900

DR. MIRANDA EFUA WELLINGTON M.D.

Family Medicine

4927 LAKE RIDGE PKWY
SUITE 100
GRAND PRAIRIE, TX
ZIP 75052

(972) 641-9000

BRITTNEY ROBERTS

Behavior Technician

4927 LAKE RIDGE PKWY
GRAND PRAIRIE, TX
ZIP 75052

(855) 782-7822

IRIS TURK

Behavior Technician

4927 LAKE RIDGE PKWY
GRAND PRAIRIE, TX
ZIP 75052

(817) 805-2495

RAFAEL MARTINEZ

Behavior Technician

4927 LAKE RIDGE PKWY
GRAND PRAIRIE, TX
ZIP 75052

(855) 782-7822

SYMBOLS BROWN RBT

Behavior Technician

4927 LAKE RIDGE PKWY
GRAND PRAIRIE, TX
ZIP 75052

(855) 782-7822

DR. CAROLYN K KHA OD

Optometrist

4927 LAKE RIDGE PKWY
SUITE NUMBER 160
GRAND PRAIRIE, TX
ZIP 75052

(972) 641-5900

DR. JEANEEN CHAPPELL M.D.

Dermatology

4927 LAKE RIDGE PKWY
GRAND PRAIRIE, TX
ZIP 75052

(817) 466-8651

CLAIRE DILLOW

Behavior Analyst

4927 LAKE RIDGE PKWY
GRAND PRAIRIE, TX
ZIP 75052

(855) 782-7822

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.