NPIMap

Organization Active NPI

Deepika Minnal, M.D., P.a.

Doing business as Tots to Teens Pediatrics

  • Pediatrics Physician
  • Plano, TX
National Provider Identifier
1831375799
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
M0181 Issued in TX
Legal business name
DEEPIKA MINNAL, M.D., P.A.
Doing business as
Tots to Teens Pediatrics
Practice address
2200 Los Rios Blvd
Suite 128
Plano, TX 75074
Phone
(972) 424-7915
Fax
(972) 424-3652
NPI assigned
Jan 10, 2008
Last updated
Jan 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Authorized official

Name
Dr. Deepika Minnal, M.D.
Title
President
Phone
(972) 424-7915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X M0181 TX Primary

Addresses

Primary practice location

2200 Los Rios Blvd
Suite 128
Plano, TX 75074

Mailing address

2200 Los Rios Blvd
Suite 128
Plano, TX 75074
Phone (972) 424-7915

Other names 1

  • Tots to Teens Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

2200 Los Rios Blvd
Ste 128
Plano, TX 75074
Phone (972) 424-7915

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1831375799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 LOS RIOS BLVD",
            "address_2": "SUITE 128",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75074",
            "telephone_number": "972-424-7915",
            "fax_number": "972-424-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 LOS RIOS BLVD",
            "address_2": "SUITE 128",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75074",
            "telephone_number": "972-424-7915",
            "fax_number": "972-424-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEPIKA MINNAL, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "MINNAL",
        "authorized_official_first_name": "DEEPIKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-424-7915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M0181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tots to Teens Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.