Active NPI
Denise Tarver, D.O.
- Family Medicine Physician
- San Antonio, TX
National Provider Identifier
1205801164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G0560
- Practice address
- 7219 Culebra Rd
San Antonio, TX 78251 - Phone
- (210) 509-2603
- Fax
- (210) 509-3726
- NPI assigned
- Feb 22, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G0560 | TX | Primary |
Addresses
Primary practice location
7219 Culebra Rd
San Antonio, TX 78251
Mailing address
720 Pleasanton Rd
San Antonio, TX 78214
Phone (210) 921-3800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134179406 | Medicaid | TX | |
| 080169099 | Other | TX | RR MEDICARE |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G0560 | TX | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532908800000",
"number": "1205801164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 PLEASANTON RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78214",
"telephone_number": "210-921-3800",
"fax_number": "210-921-6620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7219 CULEBRA RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78251",
"telephone_number": "210-509-2603",
"fax_number": "210-509-3726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARVER",
"first_name": "DENISE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-22",
"last_updated": "2018-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "G0560",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "134179406",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "080169099",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.