CENTENNIAL PEDIATRICS
NPI 1447219308
Pediatrics in Frisco, TX

NPI Status: Active since March 20, 2006

Contact Information

5560 INDEPENDENCE PKWY
FRISCO, TX
ZIP 75035
Phone: (214) 389-8801
Fax: (214) 389-8802

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  • Organization
  • Pediatrics
  • CLIA Number: 45D2100694
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-19-2025

About CENTENNIAL PEDIATRICS

This page provides the complete NPI Profile along with additional information for Centennial Pediatrics, a pediatrician established in Frisco, Texas operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1447219308 assigned on March 2006. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 14 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 provider's former legal business name is Richardson Pediatrics. The authorized official of this NPI record is Dr. Chad David Guetersloh M.d. (President)

NPI
1447219308
Provider Legal Name
CENTENNIAL PEDIATRICS
Other Organization Name
RICHARDSON PEDIATRICS
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
5560 INDEPENDENCE PKWY FRISCO, TX 75035
Location Phone
(214) 389-8801
Location Fax
(214) 389-8802
Mailing Address
5560 INDEPENDENCE PKWY FRISCO, TX 75035
Mailing Phone
(214) 389-8801
Mailing Fax
(214) 389-8802
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-20-2006
Last Update Date
11-29-2011
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A pediatrician like Centennial 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
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.

Insurance Plans Accepted

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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

DR. CHAD DAVID GUETERSLOH M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(214) 389-8801

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
G96180MEDICARE UPIN (02)TX 

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
45D2100694
Facility Type
Physician Office
Certificate Effective Date
August 20, 2023
Certificate Expiration Date
August 19, 2025
Laboratory Director
CHRISTOPHER L. NEWTON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Centennial 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 CENTENNIAL 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.
1447219308
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2487411830
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 8 + 7 + 4 + 1 + 1 + 8 + 3 + 0 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1447219308 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 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1245300789DR. RICHARD C NAIL M.D.
Individual
Pediatrics5560 INDEPENDENCE PKWY
FRISCO, TX 75035
(214) 389-8801
1760552202DR. CHAD GUETERSLOH M.D.
Individual
Pediatrics5560 INDEPENDENCE PKWY
FRISCO, TX 75035
(214) 389-8801
1558431098DR. CHRISTOPHER L NEWTON M.D., PH.D.
Individual
Pediatrics5560 INDEPENDENCE PKWY
FRISCO, TX 75035
(214) 389-8801
1790975910DR. SUSAN WEISER CROW MD
Individual
Pediatrics5560 INDEPENDENCE PKWY
FRISCO, TX 75035
(214) 389-8801
1750586269DR. KAILIN HONG MD
Individual
Pediatrics5560 INDEPENDENCE PKWY
FRISCO, TX 75035
(214) 389-8801
1952639932 DEBORAH ARNOLD MUELLER RN, CPNP
Individual
Nurse Practitioner (Pediatrics)5560 INDEPENDENCE PKWY
FRISCO, TX 75035
(214) 389-8801
1265089346 RACHEL L STEWART AP
Individual
Nurse Practitioner (Pediatrics)5560 INDEPENDENCE PKWY
FRISCO, TX 75035
(214) 389-8801
1447813514 CHELSEA BURROUGHS
Individual
Pediatrics5560 INDEPENDENCE PKWY
FRISCO, TX 75035
(214) 389-8801
1437821998 ASHLEY MONET LINNEAR DNP, APRN,CPNP-PC
Individual
Nurse Practitioner (Pediatrics)5560 INDEPENDENCE PKWY
FRISCO, TX 75035
(214) 389-8801
1821480179 WHITNEY FULLER GRUNDY CPNP-PC
Individual
Nurse Practitioner (Pediatrics)5560 INDEPENDENCE PKWY
FRISCO, TX 75035
(214) 389-8801
1982112124 KATIE MICHELLE BOYCHUK
Individual
Nurse Practitioner (Pediatrics)5560 INDEPENDENCE PKWY
FRISCO, TX 75035
(214) 389-8801
1477743847 STEPHANIE A BRENNAN NP
Individual
Nurse Practitioner (Family)5560 INDEPENDENCE PKWY
FRISCO, TX 75035
(214) 389-8801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447219308, enumerated in the NPI registry as an "organization" on March 20, 2006

The provider is located at 5560 Independence Pkwy Frisco, Tx 75035 and the phone number is (214) 389-8801

This medical organization specializes in Pediatrics with taxonomy code 208000000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 45D2100694 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 March 20, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.