Individual provider Active NPI

Dennis E Poquiz, M.D.

  • Family Medicine Physician
  • Arlington, TX
National Provider Identifier
1023021458
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K4326 Issued in TX
Practice address
2309 W Green Oaks Blvd
Arlington, TX 76016-1222
Phone
(817) 496-4957
Fax
(817) 496-3783
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K4326 TX Primary

Addresses

Primary practice location

2309 W Green Oaks Blvd
Arlington, TX 76016-1222

Mailing address

2309 W Green Oaks Blvd
Arlington, TX 76016-1222
Phone (817) 496-4957

Other identifiers 1

IdentifierTypeStateIssuer
0025NYOtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070814000775 TX Practitioner - Family Practice 7517058993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Arlington Family Medicine PAGroup PAC ID 6507019015, 5 clinicians

Practice addresses (Care Compare)

2309 W Green Oaks Blvd
Arlington, TX 76016-1222
Phone (817) 261-2862

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Arlington Family Medicine, P.a. Family Medicine CurrentSince Mar 1, 2007 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2309 W Green Oaks Blvd
Arlington, TX 76016
Phone (817) 261-2862

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIIGCA/Endpoint/FIIGCA
  • Direct secure messaging: dennis.poquiz@lafm.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1023021458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 W GREEN OAKS BLVD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760161222",
            "telephone_number": "817-496-4957",
            "fax_number": "817-496-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 W GREEN OAKS BLVD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760161222",
            "telephone_number": "817-496-4957",
            "fax_number": "817-496-3783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POQUIZ",
        "first_name": "DENNIS",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K4326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0025NY",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.