Active NPI
Donald Ray Box Jr.
- Prosthetist
- Memphis, TN
National Provider Identifier
1184158768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- Practice address
- 6515 Poplar Ave
Memphis, TN 38119-4878 - Phone
- (901) 530-7458
- Fax
- (901) 795-1738
- NPI assigned
- Apr 20, 2017
- Last updated
- Apr 20, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | TN | Primary | |
| Orthotic Fitter | 225000000X | TN |
Addresses
Primary practice location
6515 Poplar Ave
Memphis, TN 38119-4878
Mailing address
6515 Poplar Ave
Memphis, TN 38119-4878
Phone (901) 530-7458
Other names 1
- Mr. Donald Ray Box Jr.
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492646400000",
"number": "1184158768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6515 POPLAR AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381194878",
"telephone_number": "901-530-7458",
"fax_number": "901-795-1738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6515 POPLAR AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381194878",
"telephone_number": "901-530-7458",
"fax_number": "901-795-1738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOX",
"first_name": "DONALD",
"middle_name": "RAY",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-20",
"last_updated": "2017-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "TN",
"license": null,
"primary": true
},
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": "TN",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DONALD",
"last_name": "BOX",
"middle_name": "RAY",
"prefix": "MR.",
"suffix": "JR.",
"credential": "BOCP, CPOA, CFO",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.