Active NPI
Thomas Stanley Lipscomb, M.D.
- Pediatric Radiology Physician
- Fort Worth, TX
National Provider Identifier
1053633727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Radiology Physician
- License
- D-1704
- Practice address
- 4251 Sarita CT
Fort Worth, TX 76109-4732 - Phone
- (817) 923-1163
- Fax
- (817) 924-3748
- NPI assigned
- Feb 23, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Radiology Physician | 2085P0229X | D-1704 | TX | Primary |
Addresses
Primary practice location
4251 Sarita CT
Fort Worth, TX 76109-4732
Mailing address
4251 Sarita Court
Fort Worth, TX 76109-4732
Phone (817) 923-1163
Other names 1
- Dr. Tom S. Lipscomb
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-1704 | TX | MD | Pediatric Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266883200000",
"number": "1053633727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4251 SARITA COURT",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761094732",
"telephone_number": "817-923-1163",
"fax_number": "817-924-3748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4251 SARITA CT",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761094732",
"telephone_number": "817-923-1163",
"fax_number": "817-924-3748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPSCOMB",
"first_name": "THOMAS",
"middle_name": "STANLEY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-23",
"last_updated": "2010-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "TX",
"license": "D-1704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TOM",
"last_name": "LIPSCOMB",
"middle_name": "S.",
"prefix": "DR.",
"credential": "M. D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.