Active NPI
Jacqueline Marie Fox, DDS
- Dentist
- New Bern, NC
National Provider Identifier
1245123843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14781
- Practice address
- 635 McCarthy Blvd
New Bern, NC 28562-5232 - Phone
- (252) 513-2552
- NPI assigned
- Jun 2, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | RES.004951 | OH | |
| Student in an Organized Health Care Education/Training Program | 390200000X | RES.004951 | OH | |
| Dentist | 122300000X | 14781 | NC | Primary |
Addresses
Primary practice location
635 McCarthy Blvd
New Bern, NC 28562-5232
Mailing address
10954 Cold Spring Dr
Centerville, OH 45458-4515
Phone (937) 694-6875
Other practice location 1
3847 Henderson Dr
Jacksonville, NC 28546-5228
Phone (910) 219-4400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250922001171 | OH | Order and Referring Only - Dentist | 4183128119 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RES.004951 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1245123843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10954 COLD SPRING DR",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454584515",
"telephone_number": "937-694-6875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 MCCARTHY BLVD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285625232",
"telephone_number": "252-513-2552"
}
],
"practiceLocations": [
{
"address_1": "3847 Henderson Dr",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "NC",
"postal_code": "285465228",
"country_code": "US",
"telephone_number": "910-219-4400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOX",
"first_name": "JACQUELINE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-02",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "RES.004951",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": "RES.004951",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "NC",
"license": "14781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.