Steven Warren Fox, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

M-751 Issued in SD

Practice address

206 Ellison CT
Lead, SD 57754-1758

Phone

(605) 584-2482

Fax

(605) 584-2482

NPI assigned

Oct 17, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kort Herman DMD PC

  • General Practice Dentistry
  • Lead, SD
  • NPI 1518318310
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1235219817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 ELLISON CT",
            "city": "LEAD",
            "state": "SD",
            "postal_code": "577541758",
            "telephone_number": "605-584-2482",
            "fax_number": "605-584-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 ELLISON CT",
            "city": "LEAD",
            "state": "SD",
            "postal_code": "577541758",
            "telephone_number": "605-584-2482",
            "fax_number": "605-584-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "STEVEN",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SD",
            "license": "M-751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7806300",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Staci Carsten, LMT
• Jamie Kay Dahl, LPC
• Golden Ridge Assited Living
• Golden Ridge Ventures LLC
• Kristy Nicole Greene, CCC, MS
• Todd Kevin Jones, DDS
• Garrett Kohler, LPC

• Dentist in Lead, SD
• Providers in Lead, SD by specialty
• Dentist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.