Organization Active NPI

Idk Technologies Corporation

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1144077702
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
IDK TECHNOLOGIES CORPORATION
Practice address
3848 N Tarrant Pkwy Ste 150
Fort Worth, TX 76244-5424
Phone
(817) 576-4729
NPI assigned
May 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Authorized official

Name
Dr. Monica Boyd, PHARMDNPI 1669893103
Title
Ceo
Phone
(817) 576-4729

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3848 N Tarrant Pkwy Ste 150
Fort Worth, TX 76244-5424

Mailing address

3848 N Tarrant Pkwy Ste 150
Fort Worth, TX 76244-5424
Phone (817) 576-4729

Other names 1

  • B Health RX Doing business as

National Provider Directory

National Provider Directory

Locations

3848 North Tarrant Pkwy
Ste 150
Fort Worth, TX 76244
Phone (646) 305-2262

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1144077702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3848 N TARRANT PKWY STE 150",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445424",
            "telephone_number": "817-576-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3848 N TARRANT PKWY STE 150",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445424",
            "telephone_number": "817-576-4729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDK TECHNOLOGIES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-576-4729",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "B Health RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 2, 2024; 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.