Active NPI
Maria E Fox, DMD
- General Practice Dentistry
- Colville, WA
National Provider Identifier
1619206612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE0008018
- Practice address
- 510 N. Main Street
Colville, WA 99114 - Phone
- (509) 684-5800
- Fax
- (509) 684-5900
- NPI assigned
- Dec 22, 2009
- Last updated
- Mar 13, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE0008018 | WA | Primary |
Addresses
Primary practice location
510 N. Main Street
Colville, WA 99114
Mailing address
510 N. Main Street
Colville, WA 99114
Phone (509) 684-5800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 4, 2024 through Jan 4, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE0008018 | WA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710288000000",
"number": "1619206612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 N. MAIN STREET",
"city": "COLVILLE",
"state": "WA",
"postal_code": "99114",
"telephone_number": "509-684-5800",
"fax_number": "509-684-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 N. MAIN STREET",
"city": "COLVILLE",
"state": "WA",
"postal_code": "99114",
"telephone_number": "509-684-5800",
"fax_number": "509-684-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "MARIA",
"middle_name": "E",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-22",
"last_updated": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE0008018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.