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
- Last updated
- Jan 11, 2011
- 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, 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": "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
- DFW Oral and Maxillofacial Surgery Mesquite, LLC
- DFW Signature Services (The Safe Space Co.)
- Diagnostic Evaluation Centers of America
- Diagnostic Image Plus
- Leslie Diaz
- Dickerson Dallas Pain on PA
- Dickerson Dallas Pain on PA
- Dickerson Dallas Pain on PA
- Karen Delane Dickerson, M.D.
- Kimberly K. Dickson, RD, CDE
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.