Individual provider Active NPI

Julie Fox, D.D.S.,S.C.

  • General Practice Dentistry
  • Wausau, WI
National Provider Identifier
1609971902
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5207 Issued in WI
Practice address
1 Corporate Dr
Suite 103
Wausau, WI 54401-1722
Phone
(715) 849-2369
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5207 WI Primary

Addresses

Primary practice location

1 Corporate Dr
Suite 103
Wausau, WI 54401-1722

Mailing address

1 Corporate Dr
Suite 103
Wausau, WI 54401-1722
Phone (715) 849-2369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20160714001381 WI Order and Referring Only - DentistPractitioner - Dentist 4486946233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609971902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CORPORATE DR",
            "address_2": "SUITE 103",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544011722",
            "telephone_number": "715-849-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CORPORATE DR",
            "address_2": "SUITE 103",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544011722",
            "telephone_number": "715-849-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "JULIE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,S.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.