Individual provider Active NPI

Lisa Mehelich Fox, DDS

  • Pediatric Dentistry
  • Highlands Ranch, CO
National Provider Identifier
1427078435
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DEN8330 Issued in CO
Practice address
9358 Dorchester St
Suite 106
Highlands Ranch, CO 80129-2511
Phone
(303) 791-4400
Fax
(303) 791-6170
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2013

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 DEN8330 CO Primary

Addresses

Primary practice location

9358 Dorchester St
Suite 106
Highlands Ranch, CO 80129-2511

Mailing address

9358 Dorchester St
Suite 106
Highlands Ranch, CO 80129-2511
Phone (303) 791-4400

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
DEN8330COMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Kids Pediatric Dentistry Pediatric Dentistry Past Accepting new patients

Organizations & group practices 1

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360800000000",
    "number": "1427078435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9358 DORCHESTER ST",
            "address_2": "SUITE 106",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292511",
            "telephone_number": "303-791-4400",
            "fax_number": "303-791-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9358 DORCHESTER ST",
            "address_2": "SUITE 106",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292511",
            "telephone_number": "303-791-4400",
            "fax_number": "303-791-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "LISA",
        "middle_name": "MEHELICH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2013-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "DEN8330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.

Verify at the official NPI Registry.