Active NPI
Joseph Michael Maloney Jr.
- Family Nurse Practitioner
- Dallas, TX
National Provider Identifier
1275126948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1055723
- Practice address
- 6404 Junius St.
Dallas, TX 75246 - Phone
- (972) 707-7782
- NPI assigned
- Feb 14, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 0000249155 | TN | |
| Family Nurse Practitioner | 363LF0000X | 1055723 | TX | Primary |
Addresses
Primary practice location
6404 Junius St.
Dallas, TX 75246
Mailing address
1409 Botham Jean Blvd Apt 741
Dallas, TX 75215-6843
Phone (707) 291-8500
Other practice location 1
2412 Inga St
Nashville, TN 37206-3314
Phone (707) 291-8500
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000249155 | TN | MD | School Registered Nurse |
| 1055723 | TX | MD | Family Nurse Practitioner |
Interoperability endpoints
- https://api.platform.athenahealth.com/17617/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665100800000",
"number": "1275126948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1409 BOTHAM JEAN BLVD APT 741",
"city": "DALLAS",
"state": "TX",
"postal_code": "752156843",
"telephone_number": "707-291-8500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6404 JUNIUS ST.",
"city": "DALLAS",
"state": "TX",
"postal_code": "75246",
"telephone_number": "972-707-7782"
}
],
"practiceLocations": [
{
"address_1": "2412 Inga St",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372063314",
"country_code": "US",
"telephone_number": "707-291-8500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALONEY",
"first_name": "JOSEPH",
"middle_name": "MICHAEL",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-14",
"last_updated": "2022-10-07",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "TN",
"license": "0000249155",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1055723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.