Organization Active NPI

MXJ Health, LLC

  • Primary Care Clinic/Center
  • Richardson, TX
National Provider Identifier
1639300809
Registry record updated Feb 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
J2775 Issued in TX
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

Updated by the provider on Feb 15, 2010

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

Authorized official

Name
John Salvaggio, MDNPI 1154363067
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.