Active NPI
James R Matson, MD
- Pediatric Critical Care Medicine Physician
- Dallas, TX
National Provider Identifier
1760487300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- H4997
- Practice address
- 7777 Forest LN
D569
Dallas, TX 75230 - Phone
- (972) 566-8340
- Fax
- (972) 566-8338
- NPI assigned
- Jun 20, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | H4997 | TX | Primary |
Addresses
Primary practice location
7777 Forest LN
D569
Dallas, TX 75230
Mailing address
PO Box 515055
Dallas, TX 75251-5055
Phone (972) 566-8340
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100259660A | Medicaid | OK | |
| 130243207 | Medicaid | TX | |
| 8836M2 | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H4997 | TX | MD | Pediatric Critical Care Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250812800000",
"number": "1760487300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 515055",
"city": "DALLAS",
"state": "TX",
"postal_code": "752515055",
"telephone_number": "972-566-8340",
"fax_number": "972-566-8338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7777 FOREST LN",
"address_2": "D569",
"city": "DALLAS",
"state": "TX",
"postal_code": "75230",
"telephone_number": "972-566-8340",
"fax_number": "972-566-8338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATSON",
"first_name": "JAMES",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-20",
"last_updated": "2009-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "TX",
"license": "H4997",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100259660A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130243207",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8836M2",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
- Matrix Medical Assistants, PLLC
- Matrix Rehabilation -Texas, Inc. (Physical Ergonomics Rehabilitation)
- Matrix Rehabilitation - Texas, Inc. (MATRIX Rehabilitation of Turtle Creek)
- Matrix Rehabilitation - Texas, Inc. (MATRIX Rehabilitation of Turtle Creek)
- Matrix Rehabilitation-Texas, Inc. (MATRIX Rehabiliation at Walnut Hill)
- Nicole Matson, FNP
- Joy Tamiko Matsui, M.D., PH.D.
- Matt Sloan MD PLLC
- Ryan Paul Matteson, DNP, FNP-C
- Matthew J Trovato MD PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.