Individual provider Active NPI

Walter Jason Cox, D.M.D.

  • General Practice Dentistry
  • Flowood, MS
National Provider Identifier
1245335348
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
321402 Issued in MS
Practice address
105 Belle Meade PT
Flowood, MS 39232-3309
Phone
(601) 919-8575
Fax
(601) 919-8577
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 321402 MS Primary

Addresses

Primary practice location

105 Belle Meade PT
Flowood, MS 39232-3309

Mailing address

105 Belle Meade PT
Flowood, MS 39232-3309
Phone (601) 919-8575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160504002797 MS Order and Referring Only - DentistPractitioner - Dentist 8325347800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
321402MSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cox Dental PA General Practice 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.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245335348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BELLE MEADE PT",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392323309",
            "telephone_number": "601-919-8575",
            "fax_number": "601-919-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BELLE MEADE PT",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392323309",
            "telephone_number": "601-919-8575",
            "fax_number": "601-919-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "WALTER",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "321402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.