Active NPI
Booby Neal Cox, DDS.
- Dentist
- Independence, VA
National Provider Identifier
1154533370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401004395
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0401004395 | VA | MD | Dentist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401004395 | VA | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- Erica Vannoy Carson
- Zach Cayton, PT, DPT
- Susan Dawn Childress Worrell, PT
- Holly Luann Collins, LPC
- Commonwealth of Virginia State Board of Health
- Mary Elizabeth Dalton
- Nicholas James Derenzis
- Julianna Marie Digiacomo, COTA
- DLP Twin County Physician Practices LLC
- DLP Twin County Physician Practices LLC
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.