Individual provider Active NPI

John P. Fox, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Dawsonville, GA
National Provider Identifier
1255337481
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN012474 Issued in GA
Practice address
671 Lumpkin Campground Rd S
Ste 110
Dawsonville, GA 30534-0931
Phone
(706) 265-1700
Fax
(706) 265-1702
NPI assigned
Jun 22, 2005
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN012474 GA Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 2901015818 MI

Addresses

Primary practice location

671 Lumpkin Campground Rd S
Ste 110
Dawsonville, GA 30534-0931

Mailing address

671 Lumpkin Campground Rd S
Ste 110
Dawsonville, GA 30534-0931
Phone (706) 265-1700

Other identifiers 1

IdentifierTypeStateIssuer
00940794CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2024 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
DN012474GAMDOral and Maxillofacial Surgery (Dentist)
2901015818MIMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255337481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 LUMPKIN CAMPGROUND RD S",
            "address_2": "STE 110",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305340931",
            "telephone_number": "706-265-1700",
            "fax_number": "706-265-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 LUMPKIN CAMPGROUND RD S",
            "address_2": "STE 110",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305340931",
            "telephone_number": "706-265-1700",
            "fax_number": "706-265-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "JOHN",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "DN012474",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901015818",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00940794C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dawsonville, GA

Sources for this page

Verify at the official NPI Registry.