Grand Prairie Pediatric and Allergy Clinic Inc
NPI 1952368664ActiveOrganization· Pediatrics· Oklahoma City, OK
Pediatrics in Oklahoma City, Oklahoma, registered in NPPES in April 2006. The authorized official on file is Kenneth Charles Jackson, MD, Pres.
Overview
| NPI | 1952368664 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 27, 2006 |
| Last updated in NPPES | May 25, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 11030 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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