Active NPI
Michael James Fox, DDS PC
- Dentist
- Seymour, MO
National Provider Identifier
1710097258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 014156
- Practice address
- 205 N Commercial St
Ste 3
Seymour, MO 65746 - Phone
- (417) 935-2141
- Fax
- (417) 935-9991
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160830002451 | MO | Order and Referring Only - Dentist |
8224324215 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 014156 | MO | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
205 N Commercial St
Ste 3
Seymour, MO 65746
Mailing address
PO Box 233
205 N Commercial Ste 3
Seymour, MO 65746
Phone (417) 935-2141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710097258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 233",
"address_2": "205 N COMMERCIAL STE 3",
"city": "SEYMOUR",
"state": "MO",
"postal_code": "65746",
"telephone_number": "417-935-2141",
"fax_number": "417-935-9991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 N COMMERCIAL ST",
"address_2": "STE 3",
"city": "SEYMOUR",
"state": "MO",
"postal_code": "65746",
"telephone_number": "417-935-2141",
"fax_number": "417-935-9991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "MICHAEL",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "DDS PC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "014156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seymour, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.