Individual provider Active NPI

William Logan Cox, D.C.

  • Chiropractor
  • Odessa, TX
National Provider Identifier
1639134257
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2925 Issued in TX
Practice address
4692 E University Blvd
Suite 105
Odessa, TX 79762-6155
Phone
(432) 550-2830
Fax
(432) 363-0989
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2925 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 PROVIDER #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091117000421 TX Practitioner - Chiropractic 0749328474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1983
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4692 E University Blvd
Suite 105
Odessa, TX 79762-6100
Phone (432) 550-2830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Logan Cox Inc Chiropractor CurrentSince Sep 24, 2009 Accepting new patients

Locations

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

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388966400000",
    "number": "1639134257",
    "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": {
        "last_name": "COX",
        "first_name": "WILLIAM",
        "middle_name": "LOGAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2014-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "2925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001184301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "88344Z",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.