Active NPI
Laura Anne Jacox, D.M.D., PH.D.
- Dentist
- Chapel Hill, NC
National Provider Identifier
1073068177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10469
- Practice address
- 201 Barksdale Dr
Unit F
Chapel Hill, NC 27516-0407 - Phone
- (847) 702-0988
- NPI assigned
- Aug 18, 2016
- Last updated
- Aug 18, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 10469 | NC | Primary |
Addresses
Primary practice location
201 Barksdale Dr
Unit F
Chapel Hill, NC 27516-0407
Mailing address
201 Barksdale Dr
Unit F
Chapel Hill, NC 27516-0407
Phone (847) 702-0988
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10469 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471478400000",
"number": "1073068177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 BARKSDALE DR",
"address_2": "UNIT F",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275160407",
"telephone_number": "847-702-0988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 BARKSDALE DR",
"address_2": "UNIT F",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275160407",
"telephone_number": "847-702-0988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOX",
"first_name": "LAURA",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "D.M.D., PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-18",
"last_updated": "2016-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "10469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.