Basic Information
Provider Information | |||||||||
NPI: | 1811231152 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | COX | ||||||||
FirstName: | ENOCH | ||||||||
MiddleName: | J | ||||||||
NamePrefix: | DR. | ||||||||
NameSuffix: |   | ||||||||
Credential: | AUD | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 8941 SOUTH 700 E | ||||||||
Address2: | SUITE #204 | ||||||||
City: | SANDY | ||||||||
State: | UT | ||||||||
PostalCode: | 84070 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 8018498497 | ||||||||
FaxNumber: | 8016062901 | ||||||||
Practice Location | |||||||||
Address1: | 310 E 4500 S | ||||||||
Address2: | SUITE #110 | ||||||||
City: | MURRAY | ||||||||
State: | UT | ||||||||
PostalCode: | 84107 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 8014869309 | ||||||||
FaxNumber: | 8016062901 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 11/26/2012 | ||||||||
LastUpdateDate: | 07/21/2022 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | M | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | 80538 | TX | N |   | Speech, Language and Hearing Service Providers | Audiologist |   | 237700000X | 50565644601 | UT | N |   | Speech, Language and Hearing Service Providers | Hearing Instrument Specialist |   | 231H00000X | 50565644101 | UT | Y |   | Speech, Language and Hearing Service Providers | Audiologist |   |
No ID Information.