Organization Active NPI

Takpomo Foundation

  • Family Medicine Physician
  • Dover, DE
National Provider Identifier
1346648219
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TAKPOMO FOUNDATION
Practice address
640 S Queen St
Dover, DE 19904-3565
Phone
(302) 423-1118
Fax
(302) 734-4401
NPI assigned
Dec 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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

Authorized official

Name
Tutse Tonwe
Title
President
Phone
(302) 423-1118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

640 S Queen St
Dover, DE 19904-3565

Mailing address

640 S Queen St
Dover, DE 19904-3565

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418083200000",
    "number": "1346648219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S QUEEN ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S QUEEN ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043565",
            "telephone_number": "302-423-1118",
            "fax_number": "302-734-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKPOMO FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-09",
        "last_updated": "2014-12-09",
        "status": "A",
        "authorized_official_last_name": "TONWE",
        "authorized_official_first_name": "TUTSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-423-1118"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.