Individual provider Active NPI

Maynard Joseph Fox

  • General Practice Dentistry
  • Ocala, FL
National Provider Identifier
1871884189
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN4296 Issued in FL
Practice address
1220 NE 36TH Ave
Ocala, FL 34470-4931
Phone
(352) 732-4847
Fax
(352) 351-3202
NPI assigned
Apr 21, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN4296 FL Primary

Addresses

Primary practice location

1220 NE 36TH Ave
Ocala, FL 34470-4931

Mailing address

1220 NE 36TH Ave
Ocala, FL 34470-4930
Phone (352) 732-4847

Other practice location 1

6200 20th St Ste 292
Vero Beach, FL 32966-1079
Phone (772) 778-5773

Other names 1

  • Dr. Joseph M Fox Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN4296FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Coast Florida P.a. CurrentSince Jun 27, 2021 Accepting new patients
Palm Tree Dental Center Past Accepting new patients
Coast Florida P.a. PastSince Jun 27, 2021 Accepting new patients

Locations

1220 NE 36th Ave
Ocala, FL 34470
Phone (352) 732-4847

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1871884189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 NE 36TH AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344704930",
            "telephone_number": "352-732-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 NE 36TH AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344704931",
            "telephone_number": "352-732-4847",
            "fax_number": "352-351-3202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6200 20th St Ste 292",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329661079",
            "country_code": "US",
            "telephone_number": "772-778-5773",
            "fax_number": "772-778-6944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOX",
        "first_name": "MAYNARD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-21",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN4296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPH",
            "last_name": "FOX",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "D.D.S.,PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.