Active NPI
Holly Fox
- Dental Hygienist
- Brattleboro, VT
National Provider Identifier
1194942540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 015-0001476
- Practice address
- 72 High Street
Brattleboro, VT 05301 - Phone
- (802) 254-9644
- NPI assigned
- Apr 19, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 015-0001476 | VT | Primary |
Addresses
Primary practice location
72 High Street
Brattleboro, VT 05301
Mailing address
P. O. Box 64
W. Halifax, VT 05358
Phone (802) 254-9644
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015-0001476 | Other | VT | HYGIENIST LICENSE |
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 |
|---|---|---|---|
| 015-0001476 | VT | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Dental Care, PLLC. | Past | Accepting new patients |
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
- Brattleboro, VT
- NPI 1801839014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194942540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P. O. BOX 64",
"city": "W. HALIFAX",
"state": "VT",
"postal_code": "05358",
"telephone_number": "802-254-9644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 HIGH STREET",
"city": "BRATTLEBORO",
"state": "VT",
"postal_code": "05301",
"telephone_number": "802-254-9644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "HOLLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "VT",
"license": "015-0001476",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HYGIENIST LICENSE",
"identifier": "015-0001476",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brattleboro, VT
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.