Individual provider Active NPI

Kathryn Faye Fox

  • Pediatric Dentistry
  • Franklin, TN
National Provider Identifier
1356924187
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
11616 Issued in TN
Practice address
7020 Berry Farms Xing Ste 210
Franklin, TN 37064-8038
Phone
(615) 914-0014
NPI assigned
Apr 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 11616 TN Primary

Addresses

Primary practice location

7020 Berry Farms Xing Ste 210
Franklin, TN 37064-8038

Mailing address

7020 Berry Farms Xing Ste 210
Franklin, TN 37064-8038
Phone (615) 914-0013

Other practice location 1

3320 Rutger St
Saint Louis, MO 63104-1122
Phone (314) 977-8363

Other practice location 2

1501 Nashville Hwy Ste 102
Columbia, TN 38401-2018
Phone (615) 914-0013 ext. 2003

Other identifiers 2

IdentifierTypeStateIssuer
Q085487MedicaidTN
16299688338OtherTNGROUP 2 NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20210715000776 MO Order and Referring Only - DentistPractitioner - Dentist 4981006897

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11616TNMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1356924187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7020 BERRY FARMS XING STE 210",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370648038",
            "telephone_number": "615-914-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7020 BERRY FARMS XING STE 210",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370648038",
            "telephone_number": "615-914-0014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3320 Rutger St",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631041122",
            "country_code": "US",
            "telephone_number": "314-977-8363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 Nashville Hwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "TN",
            "postal_code": "384012018",
            "country_code": "US",
            "telephone_number": "615-914-0013 x2003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOX",
        "first_name": "KATHRYN",
        "middle_name": "FAYE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-29",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "11616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q085487",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP 2 NPI",
            "identifier": "16299688338",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.