NPIMap

Organization Active NPI

Tanque Verde Pediatrics, P.C.

  • Pediatrics Physician
  • Tucson, AZ
National Provider Identifier
1740494186
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
AZ14264 Issued in AZ
Legal business name
TANQUE VERDE PEDIATRICS, P.C.
Practice address
7265 E Tanque Verde Rd
Suite 121
Tucson, AZ 85715-3466
Phone
(520) 722-2585
Fax
(520) 722-1097
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Rickey Lynn Williams, M.D.NPI 1558364083
Title
President
Phone
(520) 722-2585

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X AZ14264 AZ Primary

Addresses

Primary practice location

7265 E Tanque Verde Rd
Suite 121
Tucson, AZ 85715-3466

Mailing address

7265 E Tanque Verde Rd
Suite 121
Tucson, AZ 85715-3466
Phone (520) 722-2585

National Provider Directory

National Provider Directory

Locations

7265 E Tanque Verde Rd
Ste 121
Tucson, AZ 85715
Phone (520) 722-2585

7507 E Tanque Verde Rd
Ste 101
Tucson, AZ 85715
Phone (520) 722-2585

7507 E Tanque Verde Rd
Tucson, AZ 85715
Phone (520) 722-2585

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740494186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7265 E TANQUE VERDE RD",
            "address_2": "SUITE 121",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153466",
            "telephone_number": "520-722-2585",
            "fax_number": "520-722-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7265 E TANQUE VERDE RD",
            "address_2": "SUITE 121",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153466",
            "telephone_number": "520-722-2585",
            "fax_number": "520-722-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANQUE VERDE PEDIATRICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "RICKEY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-722-2585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "AZ14264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.