Individual provider Active NPI

Dana R Fox, HIS

  • Hearing Instrument Specialist
  • Bonners Ferry, ID
National Provider Identifier
1477843191
Registry record updated Apr 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA 1974 Issued in ID
Practice address
2566 Kootenai Trail Rd
Bonners Ferry, ID 83805-4900
Phone
(208) 946-7827
NPI assigned
Apr 14, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HA 1974 ID Primary
Hearing Instrument Specialist 237700000X 404 MT

Addresses

Primary practice location

2566 Kootenai Trail Rd
Bonners Ferry, ID 83805-4900

Mailing address

PO Box 1910
Bonners Ferry, ID 83805-1910
Phone (208) 946-7827

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
404MTMDOptometrist
HA 1974IDMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302739200000",
    "number": "1477843191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1910",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838051910",
            "telephone_number": "208-946-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2566 KOOTENAI TRAIL RD",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838054900",
            "telephone_number": "208-946-7827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "DANA",
        "middle_name": "R",
        "credential": "HIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-14",
        "last_updated": "2011-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "ID",
            "license": "HA 1974",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MT",
            "license": "404",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonners Ferry, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; 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.