Organization Active NPI

Teresa Marquez-Smith M.D.P.a.

  • Durable Medical Equipment & Medical Supplies
  • El Paso, TX
National Provider Identifier
1306197785
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
J6014 Issued in TX
Legal business name
TERESA MARQUEZ-SMITH M.D.P.A.
Practice address
11410 Vista del Sol Dr Ste B
El Paso, TX 79936-5332
Phone
(915) 838-1400
Fax
(915) 838-1406
NPI assigned
Sep 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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

Authorized official

Name
Jessica Isabel Hernandez
Title
Billing and Insurance Specialist
Phone
(915) 838-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X J6014 TX Primary

Addresses

Primary practice location

11410 Vista del Sol Dr Ste B
El Paso, TX 79936-5332

Mailing address

11410 Vista del Sol Dr Ste B
El Paso, TX 79936-5332
Phone (915) 838-1400

Other identifiers 5

IdentifierTypeStateIssuer
126489703MedicaidTX
126489704MedicaidTX
00N125OtherTXMEDICARE ID TYPE UNSPECIFIED
126489701MedicaidTX
126489702MedicaidTX

National Provider Directory

National Provider Directory

Locations

11410 Vista del Sol Dr
Ste B
El Paso, TX 79936
Phone (915) 633-8171

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/72399

NPI Registry JSON

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1306197785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11410 VISTA DEL SOL DR STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365332",
            "telephone_number": "915-838-1400",
            "fax_number": "915-838-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11410 VISTA DEL SOL DR STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365332",
            "telephone_number": "915-838-1400",
            "fax_number": "915-838-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA MARQUEZ-SMITH M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ISABEL",
        "authorized_official_title_or_position": "BILLING AND INSURANCE SPECIALIST",
        "authorized_official_telephone_number": "915-838-1400"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "J6014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126489703",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126489704",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPECIFIED",
            "identifier": "00N125",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126489701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126489702",
            "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 Sep 26, 2012; 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.