Organization Active NPI

Sandra K. Fox, DPM

  • Foot Surgery Podiatrist
  • Xenia, OH
National Provider Identifier
1093989816
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
36002599F Issued in OH
Legal business name
SANDRA K. FOX, DPM
Practice address
1063 N Detroit St
Xenia, OH 45385-1928
Phone
(937) 376-2002
Fax
(937) 376-4042
NPI assigned
Apr 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Sandra K Fox, OWNER
Title
D.P.M.
Phone
(937) 376-2002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 36002599F OH Primary

Addresses

Primary practice location

1063 N Detroit St
Xenia, OH 45385-1928

Mailing address

1063 N Detroit St
Xenia, OH 45385-1928
Phone (937) 376-2002

Other identifiers 1

IdentifierTypeStateIssuer
0809996MedicaidOH

National Provider Directory

National Provider Directory

Locations

1063 N Detroit St
Xenia, OH 45385
Phone (937) 376-2002

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1093989816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1063 N DETROIT ST",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453851928",
            "telephone_number": "937-376-2002",
            "fax_number": "937-376-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1063 N DETROIT ST",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453851928",
            "telephone_number": "937-376-2002",
            "fax_number": "937-376-4042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA K. FOX, DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "D.P.M.",
        "authorized_official_telephone_number": "937-376-2002",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "OH",
            "license": "36002599F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0809996",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Xenia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.