Organization Active NPI

Logan Cox Inc

  • Chiropractor
  • Odessa, TX
National Provider Identifier
1548386949
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
TX2925 Issued in TX
Legal business name
LOGAN COX INC
Doing business as
Cox Chiropractic Clinic
Practice address
4692 E University Blvd
Suite 105
Odessa, TX 79762-6155
Phone
(432) 550-2830
Fax
(432) 363-0989
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Authorized official

Name
Dr. William Logan Cox, D.C.NPI 1639134257
Title
Owner
Phone
(432) 550-2830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X TX2925 TX Primary

Addresses

Primary practice location

4692 E University Blvd
Suite 105
Odessa, TX 79762-6155

Mailing address

4692 E University Blvd
Suite 105
Odessa, TX 79762-6155
Phone (432) 550-2830

Other identifiers 2

IdentifierTypeStateIssuer
001184301MedicaidTX
88344ZOtherTXBCBS

Other names 1

  • Cox Chiropractic Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091117000424 TX Part B Supplier - Clinic/Group Practice 5294873931 Receives reassigned benefits from 1 practitioner
Practice locations: Odessa, TX

National Provider Directory

National Provider Directory

Locations

4692 E University Blvd
Ste 105
Odessa, TX 79762
Phone (432) 550-2830

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1548386949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4692 E UNIVERSITY BLVD",
            "address_2": "SUITE 105",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797626155",
            "telephone_number": "432-550-2830",
            "fax_number": "432-363-0989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4692 E UNIVERSITY BLVD",
            "address_2": "SUITE 105",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797626155",
            "telephone_number": "432-550-2830",
            "fax_number": "432-363-0989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGAN COX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LOGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-550-2830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "TX2925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001184301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "88344Z",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cox Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.