NPIMap

Organization Active NPI

1304 Wonder World Center for Cancer Care LTD

Doing business as The Wonder World Center for Cancer Care

  • Radiation Oncology Physician
  • San Marcos, TX
National Provider Identifier
1265574263
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
1304 WONDER WORLD CENTER FOR CANCER CARE LTD
Doing business as
The Wonder World Center for Cancer Care
Practice address
1304 Wonder World Dr
San Marcos, TX 78666-7532
Phone
(512) 396-2500
Fax
(512) 396-7640
NPI assigned
Feb 13, 2007
Last updated
Oct 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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

Authorized official

Name
David Campbell Jones, MDNPI 1659353795
Title
Owner
Phone
(512) 396-2500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

1304 Wonder World Dr
San Marcos, TX 78666-7532

Mailing address

PO Box 847506
Dallas, TX 75284-7506
Phone (512) 396-2500

Other identifiers 1

IdentifierTypeStateIssuer
186352401MedicaidTX

Other names 1

  • The Wonder World Center for Cancer Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317945600000",
    "number": "1265574263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847506",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752847506",
            "telephone_number": "512-396-2500",
            "fax_number": "512-396-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 WONDER WORLD DR",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667532",
            "telephone_number": "512-396-2500",
            "fax_number": "512-396-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1304 WONDER WORLD CENTER FOR CANCER CARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2011-10-07",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CAMPBELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-396-2500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186352401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Wonder World Center for Cancer Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.