LAKE RAY HUBBARD PEDIATRICS
NPI 1427061308
Pediatrics in Rowlett, TX
NPI Status: Active since August 14, 2006
Contact Information
9100 LAKEVIEW PKWY
ROWLETT, TX
ZIP 75088
Phone: (972) 412-3034
- Organization
- Pediatrics
- CLIA Number: 45D0477909
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-17-2026
About LAKE RAY HUBBARD PEDIATRICS
This page provides the complete NPI Profile along with additional information for Lake Ray Hubbard Pediatrics, a pediatrician established in Rowlett, Texas operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1427061308 assigned on August 2006. The practitioner's primary taxonomy code is 208000000X with license number G9107 (TX). The provider is registered as an organization and their NPI record was last updated 5 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 David Phillip Granger Md (Owner/pediatrician)
- NPI
- 1427061308
- Provider Name
- LAKE RAY HUBBARD PEDIATRICS
- Entity Type
- Organization
- Location Address
- 9100 LAKEVIEW PKWY ROWLETT, TX 75088
- Location Phone
- (972) 412-3034
- Mailing Address
- 9100 LAKEVIEW PKWY ROWLETT, TX 75088
- Mailing Phone
- (972) 412-3034
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-14-2006
- Last Update Date
- 08-22-2020
- Code Navigator
A pediatrician like Lake Ray Hubbard 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
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G9107
- 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.
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
- 45D0477909
- Facility Type
- Physician Office
- Certificate Effective Date
- December 18, 2024
- Certificate Expiration Date
- December 17, 2026
- Laboratory Director
- SUSAN SMART
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Lake Ray Hubbard 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 LAKE RAY HUBBARD 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 | 4 | 2 | 7 | 0 | 6 | 1 | 3 | 0 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 0 | 6 | 2 | 3 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 4 + 7 + 0 + 6 + 2 + 3 + 0 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1427061308 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1871550160 | DR. SUSAN MICHAELLE SMART MD Individual | Pediatrics | 9100 LAKEVIEW PKWY ROWLETT, TX 75088 (972) 412-3034 |
| 1205894078 | DR. VINCENT ROBERT IANNELLI MD Individual | Pediatrics | 9100 LAKEVIEW PKWY ROWLETT, TX 75088 (972) 412-3034 |
| 1669684833 | DR. KRISTEN DEANN WAW M.D. Individual | Pediatrics | 9100 LAKEVIEW PKWY ROWLETT, TX 75088 (903) 818-3690 |
| 1063801736 | CALLIE KINSLEY CPNP Individual | Nurse Practitioner (Pediatrics) | 9100 LAKEVIEW PKWY ROWLETT, TX 75088 (972) 412-3034 |
| 1881061208 | THOMAS ELDER KOSH PA-C Individual | Physician Assistant | 9100 LAKEVIEW PKWY ROWLETT, TX 75088 (972) 412-2577 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427061308, enumerated in the NPI registry as an "organization" on August 14, 2006
The provider is located at 9100 Lakeview Pkwy Rowlett, Tx 75088 and the phone number is (972) 412-3034
This medical organization specializes in Pediatrics with taxonomy code 208000000X
The provider's CLIA number is 45D0477909 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 August 14, 2006. 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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