Michael R. Cox D.D.S. P.L.L.C.

Primary specialty

DentistTaxonomy code 122300000X

License

4123 Issued in WV

Legal business name

MICHAEL R. COX D.D.S. P.L.L.C.

Practice address

3705 Emerson Ave.
Parkersburg, WV 26104

Phone

(304) 485-7717

Fax

(304) 428-4755

NPI assigned

Mar 29, 2017

Last updated

Mar 29, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Stefanie Phillena Grogg

Title

Office Manager

Phone

(304) 485-7717

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1588196596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 EMERSON AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261041118",
            "telephone_number": "304-485-7717",
            "fax_number": "304-428-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 EMERSON AVE.",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "26104",
            "telephone_number": "304-485-7717",
            "fax_number": "304-428-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R. COX D.D.S. P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "GROGG",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_middle_name": "PHILLENA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "304-485-7717",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "4123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "001464019",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4004033-000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Parkersburg, WV
• Providers in Parkersburg, WV by specialty
• Dentist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.