Active NPI
Tania I Diaz, M.D.
- Pediatrics Physician
- Mesquite, TX
National Provider Identifier
1225237753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME 98941
- Practice address
- 3230 Interstate 30 Ste 100
Mesquite, TX 75150-2662 - Phone
- (972) 682-1791
- Fax
- (972) 698-7631
- NPI assigned
- Jul 14, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME 98941 | FL | Primary |
| Pediatrics Physician | 208000000X | M9257 | TX |
Addresses
Primary practice location
3230 Interstate 30 Ste 100
Mesquite, TX 75150-2662
Mailing address
3230 Interstate 30 Ste 100
Mesquite, TX 75150-2662
Phone (972) 682-1791
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 |
|---|---|---|---|
| ME 98941 | FL | MD | Pediatrics Physician |
| M9257 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pedcare, PA | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Mesquite, TX
- NPI 1427375294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294704000000",
"number": "1225237753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3230 INTERSTATE 30 STE 100",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751502662",
"telephone_number": "972-682-1791",
"fax_number": "972-698-7631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3230 INTERSTATE 30 STE 100",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751502662",
"telephone_number": "972-682-1791",
"fax_number": "972-698-7631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "TANIA",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-14",
"last_updated": "2011-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME 98941",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "M9257",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.