Individual provider Active NPI

Dale Jackson Cox, M.D.

  • Otolaryngology Physician
  • Porterville, CA
National Provider Identifier
1073545497
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
G18002 Issued in CA
Practice address
198 W Cherry Ave
Suite a
Porterville, CA 93257-3506
Phone
(559) 782-1871
Fax
(559) 782-1874
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X G18002 CA Primary

Addresses

Primary practice location

198 W Cherry Ave
Suite a
Porterville, CA 93257-3506

Mailing address

198 W Cherry Ave
Suite a
Porterville, CA 93257-3506
Phone (559) 782-1871

Other identifiers 1

IdentifierTypeStateIssuer
00G180020MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090507000559 CA Practitioner - OtolaryngologyPractitioner - Allergy/ImmunologyPractitioner - Plastic and Reconstructive SurgeryPractitioner - Maxillofacial Surgery 4385792993 Reassigns benefits to 1 organization
Practice locations: Porterville, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G18002CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of California - Department of Developmental Services CurrentSince May 23, 2007 Accepting new patients
State of California - Department of Developmental Services Current Accepting new patients
Agnews Community Clinic CurrentSince May 23, 2007 Accepting new patients
Valley Ear Nose and Allergy Group Otolaryngology Past Accepting new patients

Locations

26501 Avenue 140
Porterville, CA 93257
Phone (559) 782-2222

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073545497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 W CHERRY AVE",
            "address_2": "SUITE A",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573506",
            "telephone_number": "559-782-1871",
            "fax_number": "559-782-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 W CHERRY AVE",
            "address_2": "SUITE A",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573506",
            "telephone_number": "559-782-1871",
            "fax_number": "559-782-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "DALE",
        "middle_name": "JACKSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G18002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G180020",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

Verify at the official NPI Registry.