Organization Active NPI

Fox Dental - Medford LLC

  • General Practice Dentistry
  • Medford, OR
National Provider Identifier
1184073330
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FOX DENTAL - MEDFORD LLC
Practice address
1293 E McAndrews Rd
Medford, OR 97504-6103
Phone
(541) 772-1215
NPI assigned
Jun 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Authorized official

Name
Adam Fox, DMDNPI 1467849869
Title
Dentist
Phone
(541) 772-1215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

1293 E McAndrews Rd
Medford, OR 97504-6103

Mailing address

1293 E McAndrews Rd
Medford, OR 97504-6103
Phone (541) 772-1215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240809000406 OR DME Supplier - Oral Surgery - Dentist 2163969031 Practice locations: Medford, OR

National Provider Directory

National Provider Directory

Locations

1293 E McAndrews Rd
Medford, OR 97504
Phone (541) 772-1215

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1184073330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1293 E MCANDREWS RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046103",
            "telephone_number": "541-772-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1293 E MCANDREWS RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046103",
            "telephone_number": "541-772-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX DENTAL - MEDFORD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "541-772-1215",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.