Active NPI
Justin Box, DVM
- Veterinarian
- Blanco, TX
National Provider Identifier
1447626387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- 13296
- Practice address
- 1494 Loop 163
Blanco, TX 78606-4792 - Phone
- (830) 833-5140
- NPI assigned
- Aug 14, 2015
- Last updated
- Aug 14, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Veterinarian | 174M00000X | 13296 | TX | Primary |
Addresses
Primary practice location
1494 Loop 163
Blanco, TX 78606-4792
Mailing address
1494 Loop 163
Blanco, TX 78606-4792
Phone (830) 833-5140
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 |
|---|---|---|---|
| 13296 | TX | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439510400000",
"number": "1447626387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1494 LOOP 163",
"city": "BLANCO",
"state": "TX",
"postal_code": "786064792",
"telephone_number": "830-833-5140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1494 LOOP 163",
"city": "BLANCO",
"state": "TX",
"postal_code": "786064792",
"telephone_number": "830-833-5140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOX",
"first_name": "JUSTIN",
"name_prefix": "Dr.",
"credential": "DVM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-14",
"last_updated": "2015-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "TX",
"license": "13296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blanco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.