Active NPI
Dale Jackson Cox, M.D.
- Otolaryngology Physician
- Porterville, CA
National Provider Identifier
1073545497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- G18002
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G180020 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090507000559 | CA | Practitioner - Otolaryngology | 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
| License | State | Type | Specialty |
|---|---|---|---|
| G18002 | CA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of California - Department of Developmental Services | Current | Accepting new patients | |
| State of California - Department of Developmental Services | Current | Accepting new patients | |
| Agnews Community Clinic | Current | 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.
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1154372498
CA
-
- Otolaryngology Physician
- Porterville, CA
- NPI 1194948562
Otolaryngology
-
- Developmental Disabilities Clinic/Center
- San Jose, CA
- NPI 1710148515
-
- General Acute Care Hospital
- Porterville, CA
- NPI 1588615835
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.