Kelly Marie Fox, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

0402206682 Issued in VA

Practice address

520 S Independence Blvd Ste 102
Virginia Beach, VA 23452-1152

Phone

(757) 497-4825

NPI assigned

Sep 12, 2021

Last updated

Sep 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Miguel Fernandez DDS, LTD

  • General Practice Dentistry
  • Virginia Beach, VA
  • NPI 1730390998
  NPD
• Atlantic Dental Care, PLC

  dba Miguel Fernandez DDS, Ltd. a division of Atlantic Dental Care, PLC

  • Dentist
  • Virginia Beach, VA
  • NPI 1457697690
  NPD (past)

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

{
    "created_epoch": "1631404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631404800000",
    "number": "1689343659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 NORFLEET RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234641664",
            "telephone_number": "757-636-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S INDEPENDENCE BLVD STE 102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521152",
            "telephone_number": "757-497-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-12",
        "last_updated": "2021-09-12",
        "certification_date": "2021-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "VA",
            "license": "0402206682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Elizabeth Fotta, MSPT
• Kate Fowler
• Krystal Mary Fowler, LPC
• Evan Fox, OTR/L
• Jennifer Wolfe Fox, NP-C
• Lauren Marie Fox
• Micah Scott Fox
• Stephen Francis Fox
• Anthony J Foy, LCSW
• Valerie Foytik, OD

• Dental Hygienist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Dental Hygienist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2021; 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.