Individual provider Active NPI

Booby Neal Cox, DDS.

  • Dentist
  • Independence, VA
National Provider Identifier
1154533370
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401004395 Issued in VA
Practice address
1039 N. Independence Avenue
Independence, VA 24348-4992
Phone
(276) 773-3281
Fax
(276) 773-9139
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
Yes

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

State licenses

LicenseStateTypeSpecialty
0401004395VAMDDentist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401004395 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

1039 N. Independence Avenue
Independence, VA 24348-4992

Mailing address

1039 N Independence Avenue
Independence, VA 23348-4992
Phone (276) 773-3281

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154533370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 N INDEPENDENCE AVENUE",
            "city": "INDEPENDENCE",
            "state": "VA",
            "postal_code": "233484992",
            "telephone_number": "276-773-3281",
            "fax_number": "276-773-9139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 N. INDEPENDENCE AVENUE",
            "city": "INDEPENDENCE",
            "state": "VA",
            "postal_code": "243484992",
            "telephone_number": "276-773-3281",
            "fax_number": "276-773-9139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "BOOBY",
        "middle_name": "NEAL",
        "credential": "DDS.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401004395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.