Active NPI
Gary Richard Fox
- Denturist
- Spokane, WA
National Provider Identifier
1932267945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Denturist
- License
- DN00000044
- Practice address
- 1723 S Ray St
Spokane, WA 99223-3832 - Phone
- (509) 535-7434
- Fax
- (509) 536-4744
- NPI assigned
- Dec 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Denturist | 122400000X | DN00000044 | WA | Primary |
Addresses
Primary practice location
1723 S Ray St
Spokane, WA 99223-3832
Mailing address
1723 S Ray St
Spokane, WA 99223-3832
Phone (509) 535-7434
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5021027 | Medicaid | WA | |
| 91062 | Other | WA | WDS DELTA DENTAL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN00000044 | WA | MD | Denturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1932267945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1723 S RAY ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992233832",
"telephone_number": "509-535-7434",
"fax_number": "509-536-4744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1723 S RAY ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992233832",
"telephone_number": "509-535-7434",
"fax_number": "509-536-4744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "GARY",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "122400000X",
"taxonomy_group": "",
"desc": "Denturist",
"state": "WA",
"license": "DN00000044",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5021027",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WDS DELTA DENTAL",
"identifier": "91062",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.