Delar Pediatrics PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

DELAR PEDIATRICS PLLC

Practice address

1430 N Macarthur Blvd Ste 107
Irving, TX 75061-4480

Phone

(817) 513-5155

Fax

(888) 502-0861

NPI assigned

Jun 23, 2022

Last updated

Feb 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Deeni Luz De la Rosa Perez, MDNPI 1346596103

Title

Medical Director

Phone

(817) 513-5155

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deeni Luz De la Rosa Perez, MD

  • Pediatrics Physician
  • Fort Worth, TX
  • NPI 1346596103
  NPD Authorized official

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1053042796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MANCHESTER CT",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637613",
            "telephone_number": "202-903-1319",
            "fax_number": "888-502-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 N MACARTHUR BLVD STE 107",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750614480",
            "telephone_number": "817-513-5155",
            "fax_number": "888-502-0861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1440 N MacArthur Blvd",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750614496",
            "country_code": "US",
            "telephone_number": "817-513-5155",
            "fax_number": "888-502-0861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DELAR PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "DE LA ROSA PEREZ",
        "authorized_official_first_name": "DEENI",
        "authorized_official_middle_name": "LUZ",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "817-513-5155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409815",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "FISMA",
            "affiliation": "N",
            "endpointDescription": "West Fax HIPPA compliant",
            "address_1": "1440 N MacArthur Blvd",
            "city": "Irving",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750614496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "8885020861",
            "affiliation": "N",
            "endpointDescription": "fax",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "8885020861",
            "address_1": "1430 N MacArthur Blvd Ste 107",
            "city": "Irving",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750614480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jyothi Deena Dayalu Naidu
• Annika Defino
• Safar Dehghani, ATP
• Kimberly Dela Cruz
• Bobby Rance Delaney, P.T.
• Gabriel Delarosa, DC
• Catherine V Ictoria Delbello, CRNP
• Laura Delgado
• Melissa Jovana Delgado
• Dellymoore Medical Transportation

• Pediatrics Physician in Irving, TX
• Providers in Irving, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.