Active NPI
John P. Fox, D.D.S.
- Oral and Maxillofacial Surgery (Dentist)
- Dawsonville, GA
National Provider Identifier
1255337481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DN012474
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00940794C | Medicaid | GA |
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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN012474 | GA | MD | Oral and Maxillofacial Surgery (Dentist) |
| 2901015818 | MI | MD | Oral 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
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.