PEDIATRIC HEART SPECIALISTS – NPI #1740353598
Pediatrics

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

PEDIATRIC HEART SPECIALISTS is a provider located in DALLAS, TX. NPPES has assigned the NPI number 1740353598 to PEDIATRIC HEART SPECIALISTS on November 16, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PEDIATRIC HEART SPECIALISTS” is a dba name, the actual legal business name for this organization is W PENNOCK LAIRD MD PA. The primary taxonomy selected by this provider is 2080P0202X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Cardiology

The NPI profile was previously updated about 8 years ago on Aug 29, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PEDIATRIC HEART SPECIALISTS below.

NPI Profile for
W PENNOCK LAIRD MD PA

NPI Number
1740353598
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
W PENNOCK LAIRD MD PA
Doing Business As (dba): PEDIATRIC HEART SPECIALISTS
Primary location
12201 MERIT DR STE 550
DALLAS, TX 75251
Phone: (972) 331-9700 Fax: (972) 331-9833
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
VICKIE LOOSE
PRACTICE ADMINISTRATOR
Phone: (972) 331-9695
Updated
Identifiers

Identifiers for PEDIATRIC HEART SPECIALISTS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERNPITX1518955335
OTHERNPITX1417110339
OTHERNPITX1790773513
OTHERNPITX1306834023
OTHERNPITX1437126364
OTHERNPITX1548450216
MEDICAIDTX204311909
MEDICAIDTX212234302
MEDICAIDTX1575060003
MEDICAIDTX370751501
MEDICAIDTX157508601
MEDICAIDTX194614707
MEDICAIDTX370765501
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0202X
- Pediatrics / Pediatric Cardiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.