Active NPI
MXJ Health, LLC
- Primary Care Clinic/Center
- Richardson, TX
National Provider Identifier
1639300809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- J2775
- Legal business name
- MXJ HEALTH, LLC
- Practice address
- 420 N Coit Rd
Suite 2015
Richardson, TX 75080-5447 - Phone
- (972) 231-7587
- Fax
- (888) 727-8468
- NPI assigned
- Aug 5, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Salvaggio, MD
- Title
- Cmo
- Phone
- (888) 727-8468
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | J2775 | TX | Primary |
Addresses
Primary practice location
420 N Coit Rd
Suite 2015
Richardson, TX 75080-5447
Mailing address
5521 Greenville Ave
#104-248
Dallas, TX 75206-2925
Phone (888) 727-8468
Other names 1
- Care Club
National Provider Directory
National Provider DirectoryLocations
5521 Greenville Ave
Dallas, TX 75206
Phone (214) 725-1319
420 N Coit Rd
Ste 2015
Richardson, TX 75080
Phone (972) 231-7587
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1154363067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266192000000",
"number": "1639300809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5521 GREENVILLE AVE",
"address_2": "#104-248",
"city": "DALLAS",
"state": "TX",
"postal_code": "752062925",
"telephone_number": "888-727-8468",
"fax_number": "888-727-8468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 N COIT RD",
"address_2": "SUITE 2015",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750805447",
"telephone_number": "972-231-7587",
"fax_number": "888-727-8468"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MXJ HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-05",
"last_updated": "2010-02-15",
"status": "A",
"authorized_official_last_name": "SALVAGGIO",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CMO",
"authorized_official_telephone_number": "888-727-8468",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "TX",
"license": "J2775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Care Club",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.