BEANSPROUT PEDIATRICS
NPI 1174841456
Pediatrics - Adolescent Medicine in Austin, TX
NPI Status: Active since May 11, 2010
Contact Information
13917 W HIGHWAY 71 STE A
AUSTIN, TX
ZIP 78738
Phone: (512) 610-7030
Fax: (512) 610-7034
- Organization
- Pediatrics
- Adolescent Medicine
- CLIA Number: 45D2159391
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-17-2026
About BEANSPROUT PEDIATRICS
This page provides the complete NPI Profile along with additional information for Beansprout Pediatrics, a pediatrician established in Austin, Texas operating as a Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1174841456 assigned on May 2010. The practitioner's primary taxonomy code is 2080A0000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Beansprout Pediatrics operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mrs. Danielle Denise Grant M.d. (Owner/physician)
- NPI
- 1174841456
- Provider Name
- BEANSPROUT PEDIATRICS
- Entity Type
- Organization
- Location Address
- 13917 W HIGHWAY 71 STE A AUSTIN, TX 78738
- Location Phone
- (512) 610-7030
- Location Fax
- (512) 610-7034
- Mailing Address
- 13917 W HIGHWAY 71 STE A AUSTIN, TX 78738
- Mailing Phone
- (512) 610-7030
- Mailing Fax
- (512) 610-7034
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-11-2010
- Last Update Date
- 02-12-2019
- Code Navigator
A pediatrician like Beansprout Pediatrics 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 Adolescent Medicine
- Taxonomy Code
- 2080A0000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas 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
- 45D2159391
- Facility Type
- Physician Office
- Certificate Effective Date
- December 18, 2024
- Certificate Expiration Date
- December 17, 2026
- Laboratory Director
- DANIELLE GRANT
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Beansprout Pediatrics 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 BEANSPROUT PEDIATRICS
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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 | 7 | 4 | 8 | 4 | 1 | 4 | 5 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 14 | 4 | 16 | 4 | 2 | 4 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 4 + 4 + 1 + 6 + 4 + 2 + 4 + 1 + 0 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1174841456 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1790148708 | JOEL SARMIENTO Individual | Pediatrics | 13917 W HIGHWAY 71 STE A AUSTIN, TX 78738 (512) 610-7030 |
| 1144974551 | HEATHER KATHLEEN LEWIS Individual | Nurse Practitioner (Family) | 13917 W HIGHWAY 71 STE A AUSTIN, TX 78738 (512) 610-7030 |
| 1508346602 | SAMANTHA NICOLE DAHLBERG DO Individual | Pediatrics | 13917 W HIGHWAY 71 STE A AUSTIN, TX 78738 (512) 610-7030 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174841456, enumerated in the NPI registry as an "organization" on May 11, 2010
The provider is located at 13917 W Highway 71 Ste A Austin, Tx 78738 and the phone number is (512) 610-7030
This medical organization specializes in Pediatrics with taxonomy code 2080A0000X with a focus in Adolescent Medicine
The provider's CLIA number is 45D2159391 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..
This NPI record was last updated on May 11, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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