Organization Active NPI

Marisa H. Fox, DDS, Inc

  • Dentist
  • Live Oak, TX
National Provider Identifier
1356746119
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
16509 Issued in TX
Legal business name
MARISA H. FOX, DDS, INC
Practice address
7900 Shin Oak Dr
Live Oak, TX 78233-2411
Phone
(210) 654-1851
Fax
(210) 654-3078
NPI assigned
Oct 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Authorized official

Name
Dr. Marisa Hwa Fox, DDS
Title
President
Phone
(210) 520-3841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 16509 TX Primary

Addresses

Primary practice location

7900 Shin Oak Dr
Live Oak, TX 78233-2411

Mailing address

715 Vegas Rio
Helotes, TX 78023-4639
Phone (210) 520-3841

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1356746119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 VEGAS RIO",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234639",
            "telephone_number": "210-520-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 SHIN OAK DR",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782332411",
            "telephone_number": "210-654-1851",
            "fax_number": "210-654-3078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARISA H. FOX, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "MARISA",
        "authorized_official_middle_name": "HWA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-520-3841",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "16509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.