Individual provider Active NPI

Paul A Mattox, MD

  • Psychiatry Physician
  • Durango, CO
National Provider Identifier
1821105644
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
385594 Issued in CO
Practice address
1125 Three Springs Blvd
Durango, CO 81301-9033
Phone
(970) 403-0180
Fax
(970) 403-0190
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 385594 CO Primary

Addresses

Primary practice location

1125 Three Springs Blvd
Durango, CO 81301-9033

Mailing address

185 Suttle St
Durango, CO 81303-8276
Phone (970) 335-2232

Other practice location 1

281 Sawyer Dr Ste 100
Durango, CO 81303-3409
Phone (970) 259-2162

Other practice location 2

1970 E 3rd Ave Ste 1
Durango, CO 81301-5049
Phone (970) 335-2288

Other practice location 3

691 E Empire St
Cortez, CO 81321-2802
Phone (970) 565-7946

Other practice location 4

52 Village Dr
Pagosa Springs, CO 81147-8368
Phone (970) 264-2104

Other practice location 5

1800 E 3rd Ave
Suite 111
Durango, CO 81301-5016
Phone (970) 375-2111

Other practice location 6

1800 E 3rd Ave
Suite 111
Durango, CO 81301-5016
Phone (970) 375-2111

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
385594COMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alpine Clinic, LLC Past Accepting new patients
Four Corners Mental Health, LLC PastSince Oct 1, 2006 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: paul.mattox@hca3.eclinicaldirectplus.com

Organizations & group practices 2

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1821105644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 SUTTLE ST",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813038276",
            "telephone_number": "970-335-2232",
            "fax_number": "970-565-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 THREE SPRINGS BLVD",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813019033",
            "telephone_number": "970-403-0180",
            "fax_number": "970-403-0190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "281 Sawyer Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813033409",
            "country_code": "US",
            "telephone_number": "970-259-2162",
            "fax_number": "970-247-5255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1970 E 3rd Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813015049",
            "country_code": "US",
            "telephone_number": "970-335-2288",
            "fax_number": "970-335-2280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "691 E Empire St",
            "address_purpose": "LOCATION",
            "city": "Cortez",
            "state": "CO",
            "postal_code": "813212802",
            "country_code": "US",
            "telephone_number": "970-565-7946",
            "fax_number": "970-565-9005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "52 Village Dr",
            "address_purpose": "LOCATION",
            "city": "Pagosa Springs",
            "state": "CO",
            "postal_code": "811478368",
            "country_code": "US",
            "telephone_number": "970-264-2104",
            "fax_number": "970-264-2108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 E 3rd Ave",
            "address_2": "Suite 111",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813015016",
            "country_code": "US",
            "telephone_number": "970-375-2111",
            "fax_number": "970-375-2444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 E 3rd Ave",
            "address_2": "Suite 111",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813015016",
            "country_code": "US",
            "telephone_number": "970-375-2111",
            "fax_number": "970-375-2444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTOX",
        "first_name": "PAUL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "385594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.