NPIMap

Organization Active NPI

Tots and Tykes Pediatrics PA

  • Pediatrics Physician
  • Fort Worth, TX
National Provider Identifier
1841207727
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
TOTS AND TYKES PEDIATRICS PA
Practice address
1500 Oakland PL
Fort Worth, TX 76103-1550
Phone
(817) 652-3395
Fax
(817) 263-8878
NPI assigned
Aug 2, 2006
Last updated
Jul 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Authorized official

Name
Raymund Mart Poquiz, MDNPI 1841206216
Title
President
Phone
(817) 652-3395

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 Physician 208000000X NU Primary

Addresses

Primary practice location

1500 Oakland PL
Fort Worth, TX 76103-1550

Mailing address

1500 Oakland PL
Fort Worth, TX 76103-1550
Phone (817) 652-3395

Other identifiers 1

IdentifierTypeStateIssuer
168720401MedicaidTX

Other names 1

  • Professional Association Other name

National Provider Directory

National Provider Directory

Locations

1500 Oakland Pl
Fort Worth, TX 76103
Phone (817) 652-3395

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.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1841207727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 OAKLAND PL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761031550",
            "telephone_number": "817-652-3395",
            "fax_number": "817-263-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 OAKLAND PL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761031550",
            "telephone_number": "817-652-3395",
            "fax_number": "817-263-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTS AND TYKES PEDIATRICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "POQUIZ",
        "authorized_official_first_name": "RAYMUND",
        "authorized_official_middle_name": "MART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-652-3395",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168720401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Association",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

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