Individual provider Active NPI

Jerry Lynn Foxx, DDS

  • General Practice Dentistry
  • Mansfield, TX
National Provider Identifier
1295819092
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13616 Issued in TX
Practice address
1700 Country Club Dr
Suite a
Mansfield, TX 76063-2615
Phone
(817) 473-6227
Fax
(817) 463-6919
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

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 13616 TX Primary

Addresses

Primary practice location

1700 Country Club Dr
Suite a
Mansfield, TX 76063-2615

Mailing address

7416 S Cooper St Ste 100
Suite 100
Arlington, TX 76001-7090
Phone (817) 374-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13616TXMDRadiology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel S. Lim PLLC PastSince May 25, 2021 Accepting new patients
Mansfield Dental Associates PA Past Accepting new patients

Organizations & group practices 2

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256515200000",
    "number": "1295819092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7416 S COOPER ST STE 100",
            "address_2": "SUITE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760017090",
            "telephone_number": "817-374-0400",
            "fax_number": "817-701-3974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 COUNTRY CLUB DR",
            "address_2": "SUITE A",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632615",
            "telephone_number": "817-473-6227",
            "fax_number": "817-463-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOXX",
        "first_name": "JERRY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2009-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "13616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; 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.