LAKE LEWISVILLE PEDIATRICS, LLP
NPI 1649471814
Clinic/Center - Primary Care in Lewisville, TX

Active since May 29, 2007
2141 S EDMONDS LN, LEWISVILLE, TX 75067(972) 315-8500 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Primary Care
  • Accepts Insurance
  • CLIA Number: 45D0887104
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-17-2026

About LAKE LEWISVILLE PEDIATRICS, LLP

This page provides the complete NPI Profile along with additional information for Lake Lewisville Pediatrics, Llp, a primary care provider established in Lewisville, Texas operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1649471814 assigned on May 2007. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is John Glen Ogden (Md)

NPI
1649471814 Verify this NPI
Provider Name
LAKE LEWISVILLE PEDIATRICS, LLP
Entity Type
Organization
Location Address
2141 S EDMONDS LN LEWISVILLE, TX 75067
Location Phone
(972) 315-8500
Mailing Address
2141 S EDMONDS LN LEWISVILLE, TX 75067
Mailing Phone
(972) 315-8500
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-29-2007
Last Update Date
08-22-2020
Code Navigator

A primary care provider (PCP) like Lake Lewisville Pediatrics, Llp sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Core 1640 Plus with Adult Vision - HMO
  • Molina Gold Saver 750 - HMO
  • Molina Gold Saver 750 Plus with Adult Dental and Vision - HMO
  • Molina Gold Saver 750 Plus with Adult Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO
  • Molina Silver Saver with Four Free PCP Visits - HMO
  • Molina Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

JOHN GLEN OGDEN

Authorized Official Title
MD
Authorized Official Phone
(972) 315-8500

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
45D0887104
Facility Type
Physician Office
Certificate Effective Date
July 18, 2024
Certificate Expiration Date
July 17, 2026
Laboratory Director
JOHN G. OGDEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Lake Lewisville Pediatrics, Llp 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.

Reviews for LAKE LEWISVILLE PEDIATRICS, LLP

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Pediatrics
2141 S EDMONDS LN
LEWISVILLE, TX 75067
Pediatrics
2141 S EDMONDS LN
LEWISVILLE, TX 75067
Physician Assistant
2141 S EDMONDS LN
LEWISVILLE, TX 75067

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649471814, enumerated as an "organization" on May 29, 2007.

The provider is located at 2141 S EDMONDS LN LEWISVILLE, TX 75067 and the phone number is (972) 315-8500.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to verify.