Pediaq
NPI 1477938132 · Pediatric Nurse Practitioner · Dallas, TX
Pediaq is a Pediatric Nurse Practitioner organization in Dallas, TX (NPI 1477938132).
Provider details
- NPI number
- 1477938132
- Entity type
- Organization
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Frederick Johnson, Medical Director(214) 984-3900
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-07-23
- Last updated
- 2015-07-23
Frequently asked questions
- What is Pediaq's NPI number?
- Pediaq's National Provider Identifier (NPI) is 1477938132, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediaq?
- Pediaq is classified in the NPPES registry as Pediatric Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Pediaq located?
- Pediaq's practice location on file with NPPES is 17101 Preston Rd, Dallas, TX 75248-1331.
- What is Pediaq's phone number?
- The practice phone number listed in the NPPES registry for Pediaq is (214) 984-3900.
- Who is the authorized official for Pediaq?
- The authorized official listed on Pediaq's NPPES record is Frederick Johnson, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediaq's NPI active?
- Yes — Pediaq's NPI (1477938132) is active in the NPPES registry as of the last update on 2015-07-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.