NPIMap

Organization Active NPI

Dr John N Fox DDS Ms PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Poplar Bluff, MO
National Provider Identifier
1821213620
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
12904 Issued in MO
Legal business name
DR JOHN N FOX DDS MS PC
Practice address
1300 N Westwood Blvd
Suite B
Poplar Bluff, MO 63901-3314
Phone
(573) 785-1466
Fax
(573) 785-8566
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Nelson Fox, DDS MSNPI 1942426358
Title
Owner
Phone
(573) 785-1466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 12904 MO Primary

Addresses

Primary practice location

1300 N Westwood Blvd
Suite B
Poplar Bluff, MO 63901-3314

Mailing address

1300 N Westwood Blvd
Suite B
Poplar Bluff, MO 63901-3314
Phone (573) 785-1466

National Provider Directory

National Provider Directory

Locations

1300 N Westwood Blvd
#B
Poplar Bluff, MO 63901
Phone (573) 785-1466

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821213620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N WESTWOOD BLVD",
            "address_2": "SUITE B",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639013314",
            "telephone_number": "573-785-1466",
            "fax_number": "573-785-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N WESTWOOD BLVD",
            "address_2": "SUITE B",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639013314",
            "telephone_number": "573-785-1466",
            "fax_number": "573-785-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JOHN N FOX DDS MS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-785-1466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "12904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poplar Bluff, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.