Organization Active NPI

Michael D Mixon Mdpa

  • Internal Medicine Physician
  • Murphy, TX
National Provider Identifier
1629357868
Registry record updated Apr 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J1317 Issued in TX
Legal business name
MICHAEL D MIXON MDPA
Practice address
1213 Dartmouth Cir
Murphy, TX 75094-4112
Phone
(214) 703-3764
NPI assigned
Aug 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2012

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

Authorized official

Name
Dr. Michael D Mixon, MD
Title
President
Phone
(214) 703-3764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X J1317 TX Primary

Addresses

Primary practice location

1213 Dartmouth Cir
Murphy, TX 75094-4112

Mailing address

PO Box 941
Wylie, TX 75098-0941

Other identifiers 1

IdentifierTypeStateIssuer
098970901MedicaidTX

National Provider Directory

National Provider Directory

Locations

500 Turtle Cove Blvd
Ste 110A
Rockwall, TX 75087
Phone (214) 703-3764

NPI Registry JSON

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335484800000",
    "number": "1629357868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 941",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750980941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 DARTMOUTH CIR",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750944112",
            "telephone_number": "214-703-3764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D MIXON MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-05",
        "last_updated": "2012-04-27",
        "status": "A",
        "authorized_official_last_name": "MIXON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-703-3764",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J1317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098970901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murphy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; 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.