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PRACTICAL PEDIATRICS
NPI 1639351505
Specialist in Grapevine, TX

Active since December 03, 2007CLIA 45D0712549 · Waiver
811 IRA E WOODS AVE., GRAPEVINE, TX 76051(817) 481-3585(817) 421-6529 Get Directions Write a Review

NPPES record last updated: December 3, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Practical Pediatrics NPPES

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

PRACTICAL PEDIATRICS (NPI 1639351505) is a healthcare organization registered as a specialist in Grapevine, Texas and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through September 24, 2026 and lists Michael W Mccoy, Owner Pediatrican, as its authorized official.

NPPES Registry Identity

NPI1639351505
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePRACTICAL PEDIATRICS
Location Address811 IRA E WOODS AVE.Grapevine, TX 76051-4012
Mailing Address811 Ira E Woods AveGrapevine, TX 76051-8722 · (817) 481-3585 · Fax (817) 421-6529
Phone(817) 481-3585
Fax(817) 421-6529
Organization SubpartNo
Authorized OfficialMichael W MccoyOwner Pediatrican · (817) 481-3585
Enumeration DateDecember 3, 2007
✔ NPI 1639351505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TX · H5589
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

811 IRA E WOODS AVE., Grapevine, TX 76051
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Other Identifiers 1

OtherE56705TX · Upin

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

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 45D0712549

Practical Pediatrics · Grapevine, TX
Active · expires Sep 24, 2026
CLIA Number45D0712549
Laboratory TypePhysician Office
Certificate Effective DateSeptember 25, 2024
Certificate Expiration DateSeptember 24, 2026
Laboratory DirectorMichael W. Mccoy
Laboratory Phone(817) 481-3585
Laboratory LocationPractical Pediatrics811 Ira E Woods, Grapevine, TX 76051
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Practical Pediatrics's NPI number?

The NPI number for Practical Pediatrics is 1639351505. It was assigned to this organization in the NPPES registry on December 3, 2007.

Where is Practical Pediatrics located?

Practical Pediatrics is located at 811 Ira E Woods Ave., Grapevine, TX 76051. The listed phone number is (817) 481-3585.

What is Practical Pediatrics's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Practical Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0712549) is associated with this NPI, valid through September 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Practical Pediatrics was last updated on December 3, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.