Individual provider Active NPI

Teresa Marquez-Smith, MD

  • Pediatrics Physician
  • El Paso, TX
National Provider Identifier
1114998051
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
J6014 Issued in TX
Practice address
11331 James Watt Dr
Ste 600
El Paso, TX 79936-6401
Phone
(915) 838-1400
NPI assigned
Jan 30, 2006
Last updated
Oct 31, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X J6014 TX Primary

Addresses

Primary practice location

11331 James Watt Dr
Ste 600
El Paso, TX 79936-6401

Mailing address

11331 James Watt Dr
Ste 600
El Paso, TX 79936-6401
Phone (915) 838-1400

Other identifiers 4

IdentifierTypeStateIssuer
126489702MedicaidTX
126489703MedicaidTX
126489704MedicaidTX
126489701MedicaidTX

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J6014TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doniphan Pediatrics PA PastSince Nov 3, 2015 Accepting new patients
El Paso Healthcare System LTD Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1114998051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11331 JAMES WATT DR",
            "address_2": "STE 600",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366401",
            "telephone_number": "915-838-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11331 JAMES WATT DR",
            "address_2": "STE 600",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366401",
            "telephone_number": "915-838-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ-SMITH",
        "first_name": "TERESA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J6014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126489702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126489703",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126489704",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126489701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.