Active NPI
Zachary Fox, DDS
- General Practice Dentistry
- Greenville, SC
National Provider Identifier
1154889798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9668
- Practice address
- 1106 Woodruff Rd Ste a
Greenville, SC 29607-4109 - Phone
- (864) 751-0620
- NPI assigned
- Mar 2, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 9668 | SC | Primary |
Addresses
Primary practice location
1106 Woodruff Rd Ste a
Greenville, SC 29607-4109
Mailing address
3450 Roxboro Rd NE Apt 4211
Atlanta, GA 30326-1839
Phone (540) 570-9469
Other practice location 1
700 14th St NW
Atlanta, GA 30318-5408
Phone (404) 881-1858
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 |
|---|---|---|---|
| 9668 | SC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodruff Smiles Dentistry, PC | Current | Accepting new patients |
Locations
1106 Woodruff Rd
#A
Greenville, SC 29607
Phone (864) 742-0620
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.
-
- Dentist
- Greenville, SC
- NPI 1295386597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595894400000",
"number": "1154889798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3450 ROXBORO RD NE APT 4211",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303261839",
"telephone_number": "540-570-9469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 WOODRUFF RD STE A",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296074109",
"telephone_number": "864-751-0620"
}
],
"practiceLocations": [
{
"address_1": "700 14th St NW",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303185408",
"country_code": "US",
"telephone_number": "404-881-1858",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOX",
"first_name": "ZACHARY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-02",
"last_updated": "2020-07-28",
"certification_date": "2020-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "9668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.