Active NPI
Andrew Joseph Fox, DMD
- General Practice Dentistry
- Springfield, MA
National Provider Identifier
1164626602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 15473
- Practice address
- 1795 Main St
Springfield, MA 01103-1077 - Phone
- (413) 733-5981
- NPI assigned
- Jun 11, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 15473 | MA | Primary |
Addresses
Primary practice location
1795 Main St
Springfield, MA 01103-1077
Mailing address
1795 Main St
Springfield, MA 01103-1077
Phone (413) 733-5981
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0263303 | Medicaid | MA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15473 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164626602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1795 MAIN ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011031077",
"telephone_number": "413-733-5981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1795 MAIN ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011031077",
"telephone_number": "413-733-5981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "ANDREW",
"middle_name": "JOSEPH",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "15473",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0263303",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
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.