NPIMap

Organization Active NPI

James B Maddox MD PA

  • Otolaryngology Physician
  • Garland, TX
National Provider Identifier
1083875686
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
D6074 Issued in TX
Legal business name
JAMES B MADDOX MD PA
Practice address
777 Walter Reed Blvd
Suite 200
Garland, TX 75042-5727
Phone
(972) 272-5555
Fax
(972) 272-0317
NPI assigned
Jun 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

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

Authorized official

Name
James B Maddox, MD
Title
President
Phone
(972) 272-5555

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X D6074 TX Primary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X 51697 TX

Addresses

Primary practice location

777 Walter Reed Blvd
Suite 200
Garland, TX 75042-5727

Mailing address

777 Walter Reed Blvd
Suite 200
Garland, TX 75042-5727
Phone (972) 272-5555

Other identifiers 1

IdentifierTypeStateIssuer
097731602MedicaidTX

Other names 1

  • AUDIOLOGY CENTER OF GARLAND Other name

National Provider Directory

National Provider Directory

Locations

777 Walter Reed Blvd
Ste 200
Garland, TX 75042
Phone (972) 272-5555

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404172800000",
    "number": "1083875686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 WALTER REED BLVD",
            "address_2": "SUITE 200",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425727",
            "telephone_number": "972-272-5555",
            "fax_number": "972-272-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 WALTER REED BLVD",
            "address_2": "SUITE 200",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425727",
            "telephone_number": "972-272-5555",
            "fax_number": "972-272-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES B MADDOX MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2014-07-01",
        "status": "A",
        "authorized_official_last_name": "MADDOX",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-272-5555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "D6074",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "TX",
            "license": "51697",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097731602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AUDIOLOGY CENTER OF GARLAND",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.