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NORTHSIDE PEDIATRICS, PLLC
NPI 1629784194
Pediatrics in Plano, TX

Active since January 27, 2023
1200 JUPITER RD # 940683, PLANO, TX 75074(682) 305-7890 Get Directions Write a Review

NPPES record last updated: January 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northside Pediatrics, Pllc NPPES

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

NORTHSIDE PEDIATRICS, PLLC (NPI 1629784194) is a healthcare organization registered as a pediatrics in Plano, Texas and active in the NPI registry since January 2023. The organization lists Jaeon Abraham, Manager, as its authorized official.

NPPES Registry Identity

NPI1629784194
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameNORTHSIDE PEDIATRICS, PLLC
Location Address1200 JUPITER RD # 940683Plano, TX 75074-7017
Mailing Address317 W Muirfield RdGarland, TX 75044-4233
Phone(682) 305-7890
Organization SubpartNo
Authorized OfficialJaeon AbrahamManager · (214) 674-9189
Enumeration DateJanuary 27, 2023
NPPES CertifiedJanuary 26, 2023
✔ NPI 1629784194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
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.
1200 JUPITER RD # 940683, Plano, TX 75074
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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 SINGLE SPECIALTY GROUP

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 Northside Pediatrics, PLLC's NPI number?

The NPI number for Northside Pediatrics, PLLC is 1629784194. It was assigned to this organization in the NPPES registry on January 27, 2023.

Where is Northside Pediatrics, PLLC located?

Northside Pediatrics, PLLC is located at 1200 Jupiter Rd # 940683, Plano, TX 75074. The listed phone number is (682) 305-7890.

What is Northside Pediatrics, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Northside Pediatrics, PLLC was last updated on January 27, 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.