Joshua Andrew Maultsby, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22756 Issued in TX

Practice address

4949 Hedgcoxe Rd
Ste 160
Plano, TX 75024-3898

Phone

(214) 504-3765

NPI assigned

Jan 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Sep 11, 2015 through Sep 11, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458259200000",
    "number": "1447304290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 HEDGCOXE RD",
            "address_2": "STE 160",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243898",
            "telephone_number": "214-504-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 HEDGCOXE RD",
            "address_2": "STE 160",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243898",
            "telephone_number": "214-504-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAULTSBY",
        "first_name": "JOSHUA",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2016-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181576301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hailey Matthys, LCSW
• Hani Noaman Matti, DMD
• Dawn Mattix
• Patricia L Matzke, MS, OTR
• Ula Mauardy
• Carolyn G. Maurer, PHD
• Maurice Barnett Geriatric Wellness Center, Inc.
• Kristin Nicole Mauritzen, LPC
• Neghae Mawla, MD
• Carlene Marcella Maxie, LCSW

• General Practice Dentistry in Plano, TX
• Providers in Plano, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.