PEDIAQ
NPI 1477938132
Nurse Practitioner - Pediatrics in Dallas, TX

NPI Status: Active since July 23, 2015

Contact Information

17101 PRESTON RD
STE 115
DALLAS, TX
ZIP 75248
Phone: (214) 984-3900
Fax: (972) 294-3343

Get Directions Reviews

  • Organization
  • Nurse Practitioner
  • Pediatrics

About PEDIAQ

This page provides the complete NPI Profile along with additional information for Pediaq, a provider established in Dallas, Texas operating as a Nurse Practitioner, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1477938132 assigned on July 2015. The practitioner's primary taxonomy code is 363LP0200X. The provider is registered as an organization and their NPI record was last updated 10 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 Frederick Johnson Do (Medical Director)

NPI
1477938132
Provider Name
PEDIAQ
Entity Type
Organization
Location Address
17101 PRESTON RD STE 115 DALLAS, TX 75248
Location Phone
(214) 984-3900
Location Fax
(972) 294-3343
Mailing Address
17101 PRESTON RD STE 115 DALLAS, TX 75248
Mailing Phone
(214) 984-3900
Mailing Fax
(972) 294-3343
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-23-2015
Last Update Date
07-23-2015
Code Navigator

A nurse practitioner (NP) like Pediaq is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, 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

Nurse Practitioner Pediatrics

Taxonomy Code
363LP0200X
Type
Physician Assistants & Advanced Practice Nursing Providers

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.

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

FREDERICK JOHNSON DO

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(214) 984-3900

Reviews for PEDIAQ

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.

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.
1477938132
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241471831616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 4 + 7 + 1 + 8 + 3 + 1 + 6 + 1 + 6 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1477938132 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1578589842KELLY L WIMBERLY MD PA
Organization
Family Medicine17101 PRESTON RD SUITE 200
DALLAS, TX 75248
(972) 239-4441
1053330803DR. KELLY L WIMBERLY MD
Individual
Family Medicine17101 PRESTON RD SUITE 200
DALLAS, TX 75248
(972) 239-4441
1881616860DR. BRANDON MARSHALL BONDS D.C.
Individual
Chiropractor17101 PRESTON RD #190
DALLAS, TX 75248
(972) 248-4994
1033383518KELI S. JONES M.D., PA
Organization
Obstetrics & Gynecology (Gynecology)17101 PRESTON RD SUITE 200
DALLAS, TX 75248
(972) 248-1042
1992013239 JEANNETTE LARUE KILGARD PA-C
Individual
Physician Assistant (Medical)17101 PRESTON RD SUITE 200
DALLAS, TX 75248
(469) 828-4342
1093845349 KELI JONES M.D., P.A
Individual
Obstetrics & Gynecology17101 PRESTON RD SUITE 200
DALLAS, TX 75248
(972) 248-1042
1326415779PEDIAQ TEXAS LLC
Organization
Nurse Practitioner (Pediatrics)17101 PRESTON RD STE 115
DALLAS, TX 75248
(214) 984-3900
1174549406AIMEE L WRIGHT DO PA
Organization
Family Medicine17101 PRESTON RD SUITE 200
DALLAS, TX 75248
(972) 239-4441
1508422577 LETICIA ANNE GARCEAU LPC , CSAT CANDIDATE
Individual
Counselor (Professional)17101 PRESTON RD
DALLAS, TX 75248
(972) 538-1713

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477938132, enumerated in the NPI registry as an "organization" on July 23, 2015

The provider is located at 17101 Preston Rd Ste 115 Dallas, Tx 75248 and the phone number is (214) 984-3900

This medical organization specializes in Nurse Practitioner with taxonomy code 363LP0200X with a focus in Pediatrics

This NPI record was last updated on July 23, 2015. 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.