Michelle Lee Fox, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

10253-16 Issued in WI

Practice address

500 College Ave
Racine, WI 53403-1058

Phone

(262) 620-6997

NPI assigned

Sep 8, 2010

Last updated

Jul 20, 2022By 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

Other names 1

• Michelle Lee Ward Former name

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.

• Outreach 4 Healthy Teeth, LLC

  • Dental Clinic/Center
  • Racine, WI
  • NPI 1083254064
  NPD Authorized official
• Michelle Fox, R.D.H.,S.C.

  • Dental Hygienist
  • Kenosha, WI
  • NPI 1730421850
  NPD (past) Authorized official

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1760799076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 66TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531428234",
            "telephone_number": "262-484-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 COLLEGE AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031058",
            "telephone_number": "262-620-6997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9220 66th Street",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "531428234",
            "country_code": "US",
            "telephone_number": "262-620-6997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOX",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-08",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "10253-16",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "WARD",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Foot & Ankle Specialists of Racine, S.C.
• Forefront Dermatology, S.C.
• Sophia Fiorenza Formolo
• Dominic D Foster, LPC-IT, SACIT
• Foundations of Life, Inc
• Stuart A. Fox, M.D.
• Eloise Frey, PT
• Paula Naomi Friedman, P.T.
• Lisa Friedrich, MT-BC
• Patricia S Friss

• Dental Hygienist in Racine, WI
• Providers in Racine, WI by specialty
• Dental Hygienist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.