Organization Active NPI

JS Todd & Associates

  • Family Medicine Physician
  • Lufkin, TX
National Provider Identifier
1336295336
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E9439 Issued in TX
Legal business name
JS TODD & ASSOCIATES
Practice address
1702 E Denman Ave
Lufkin, TX 75901-6110
Phone
(936) 639-1224
Fax
(936) 632-9322
NPI assigned
Jan 25, 2007
Last updated
Apr 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

Authorized official

Name
Dr. Jansen S Todd, DONPI 1235210519
Title
Owner
Phone
(936) 639-1224

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
Family Medicine Physician 207Q00000X E9439 TX Primary

Addresses

Primary practice location

1702 E Denman Ave
Lufkin, TX 75901-6110

Mailing address

1702 E Denman Ave
Lufkin, TX 75901-6110
Phone (936) 639-1224

Other identifiers 1

IdentifierTypeStateIssuer
084962201MedicaidTX

Other names 1

  • FAMILY MEDICAL CLINIC Other name

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": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1336295336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 E DENMAN AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759016110",
            "telephone_number": "936-639-1224",
            "fax_number": "936-632-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 E DENMAN AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759016110",
            "telephone_number": "936-639-1224",
            "fax_number": "936-632-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JS TODD & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "JANSEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-639-1224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E9439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084962201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY MEDICAL CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.