Active NPI
Tots 2 Teens Kid Care, PLLC
- Family Medicine Physician
- Irving, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- TOTS 2 TEENS KID CARE, PLLC
- Practice address
- 3626 N Macarthur Blvd Ste 200
Irving, TX 75062-3643 - Phone
- (972) 256-2028
- Fax
- (972) 570-5672
- NPI assigned
- May 8, 2019
- Last updated
- May 8, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tamara Martin, P.A.-C
- Title
- Owner
- Phone
- (972) 740-5572
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Medical Physician Assistant | 363AM0700X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Pediatric Nurse Practitioner | 363LP0200X |
Addresses
Primary practice location
3626 N Macarthur Blvd Ste 200
Irving, TX 75062-3643
Mailing address
2120 Surrey LN
McKinney, TX 75072-7132
Phone (972) 740-5572
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316447360 | Medicaid | TX | |
| 1235490046 | Medicaid | TX | |
| 1497225478 | Medicaid | TX | |
| 1932395746 | Medicaid | TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2167089 | Tots 2 Teens Kid Care, PLLC | Certificate of waiver | May 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
3626 N MacArthur Blvd
Irving, TX 75062
Phone (972) 256-2028
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Medical Physician Assistant
- Irving, TX
- NPI 1235490046
-
- Physician Assistant
- Fort Worth, TX
- NPI 1942808688
-
- Nurse Practitioner
- Dallas, TX
- NPI 1225099252
-
- Physician Assistant
- Irving, TX
- NPI 1306417985
-
- Family Medicine Physician
- Plano, TX
- NPI 1932395746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1557273600000",
"number": "1376108944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 SURREY LN",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750727132",
"telephone_number": "972-740-5572",
"fax_number": "972-570-5672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3626 N MACARTHUR BLVD STE 200",
"city": "IRVING",
"state": "TX",
"postal_code": "750623643",
"telephone_number": "972-256-2028",
"fax_number": "972-570-5672"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOTS 2 TEENS KID CARE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-08",
"last_updated": "2019-05-08",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "TAMARA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "972-740-5572",
"authorized_official_credential": "P.A.-C"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1316447360",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1235490046",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1497225478",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1932395746",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.