Active NPI
Javon Hills
- Phlebology Physician
- Houston, TX
National Provider Identifier
1073270732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebology Physician
- License
- 2016081406
- Practice address
- 11355 Richmond Ave Apt 1115
Houston, TX 77082-7642 - Phone
- (248) 790-1161
- NPI assigned
- Nov 17, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebology Physician | 202K00000X | 2016081406 | TX | Primary |
Addresses
Primary practice location
11355 Richmond Ave Apt 1115
Houston, TX 77082-7642
Mailing address
11355 Richmond Ave Apt 1115
Houston, TX 77082-7642
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jayehills@icloud.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016081406 | TX | MD | Phlebology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637107200000",
"number": "1073270732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11355 RICHMOND AVE APT 1115",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770827642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11355 RICHMOND AVE APT 1115",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770827642",
"telephone_number": "248-790-1161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLS",
"first_name": "JAVON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-11-17",
"last_updated": "2021-11-17",
"certification_date": "2021-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "202K00000X",
"taxonomy_group": "",
"desc": "Phlebology",
"state": "TX",
"license": "2016081406",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jayehills@icloud.com",
"affiliation": "N",
"address_1": "11355 Richmond Ave Apt 1115",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770827642",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.