Individual provider Active NPI

David J. Fox, D.M.D.

  • Periodontics
  • Philadelphia, PA
National Provider Identifier
1033539804
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DS022175L Issued in PA
Practice address
2401 Pennsylvania Ave Ste 1A8
Philadelphia, PA 19130-3002
Phone
(215) 481-0441
NPI assigned
Apr 21, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X DS022175L PA
Periodontics 1223P0300X DS022175L PA Primary

Addresses

Primary practice location

2401 Pennsylvania Ave Ste 1A8
Philadelphia, PA 19130-3002

Mailing address

PO Box 624
Foxcroft Square, PA 19046-7024
Phone (215) 481-0441

Other identifiers 1

IdentifierTypeStateIssuer
DS-022175LOtherPAPENNSYLVANIA DEPARTMENT OF STATE - STATE BOARD OF DENTISTRY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150515000917 PA Order and Referring Only - DentistPractitioner - Dentist 5294055166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
David J. Fox, D.M.D., P.C. Periodontics CurrentSince Oct 27, 2019 Accepting new patients

Locations

1021 Old York Rd
Ste 201
Abington, PA 19001
Phone (215) 839-3867

2401 Pennsylvania Ave
Ste 1A8
Philadelphia, PA 19130
Phone (215) 481-0441

Organizations & group practices 1

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": "1398038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1033539804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 624",
            "city": "FOXCROFT SQUARE",
            "state": "PA",
            "postal_code": "190467024",
            "telephone_number": "215-481-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 PENNSYLVANIA AVE STE 1A8",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303002",
            "telephone_number": "215-481-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "DAVID",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-21",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "PA",
            "license": "DS022175L",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS022175L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA DEPARTMENT OF STATE - STATE BOARD OF DENTISTRY",
            "identifier": "DS-022175L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.