Organization Active NPI

Sandbox Medical Group, PA

  • Family Medicine Physician
  • Spring, TX
National Provider Identifier
1699139857
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M2305 Issued in TX
Legal business name
SANDBOX MEDICAL GROUP, PA
Practice address
9305 Spring Cypress Rd
Ste 104
Spring, TX 77379-3024
Phone
(281) 251-2400
Fax
(281) 251-2406
NPI assigned
Apr 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Authorized official

Name
Candice Martin Demattia, M.D.
Title
Owner
Phone
(281) 251-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X M2305 TX Primary

Addresses

Primary practice location

9305 Spring Cypress Rd
Ste 104
Spring, TX 77379-3024

Mailing address

9305 Spring Cypress Rd
Ste 104
Spring, TX 77379-3024
Phone (281) 251-2400

National Provider Directory

National Provider Directory

Locations

9305 Spring Cypress Rd
Ste 104
Spring, TX 77379
Phone (281) 251-2400

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1699139857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9305 SPRING CYPRESS RD",
            "address_2": "STE 104",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793024",
            "telephone_number": "281-251-2400",
            "fax_number": "281-251-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 SPRING CYPRESS RD",
            "address_2": "STE 104",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793024",
            "telephone_number": "281-251-2400",
            "fax_number": "281-251-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDBOX MEDICAL GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "DEMATTIA",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-251-2400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M2305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.