Active NPI
Dba Angela Fox
- Speech-Language Pathologist
- Mesa, AZ
National Provider Identifier
1407196553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP4499
- Legal business name
- DBA ANGELA FOX
- Practice address
- 2834 S Extension Rd
Unit 1087
Mesa, AZ 85210-8285 - Phone
- (480) 773-1282
- NPI assigned
- Feb 27, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela Fox
- Title
- Owner
- Phone
- (480) 773-1282
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP4499 | AZ | Primary |
Addresses
Primary practice location
2834 S Extension Rd
Unit 1087
Mesa, AZ 85210-8285
Mailing address
2834 S Extension Rd
Unit 1087
Mesa, AZ 85210-8285
Phone (480) 773-1282
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361923200000",
"number": "1407196553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2834 S EXTENSION RD",
"address_2": "UNIT 1087",
"city": "MESA",
"state": "AZ",
"postal_code": "852108285",
"telephone_number": "480-773-1282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2834 S EXTENSION RD",
"address_2": "UNIT 1087",
"city": "MESA",
"state": "AZ",
"postal_code": "852108285",
"telephone_number": "480-773-1282"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DBA ANGELA FOX",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-27",
"last_updated": "2013-02-27",
"status": "A",
"authorized_official_last_name": "FOX",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-773-1282"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP4499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.