Organization Active NPI

Fox Pediatric & Adolescent Dentistry, P.C.

  • Pediatric Dentistry
  • Meriden, CT
National Provider Identifier
1952432411
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
4703 Issued in CT
Legal business name
FOX PEDIATRIC & ADOLESCENT DENTISTRY, P.C.
Practice address
546 S Broad St
Suite 2D
Meriden, CT 06450-6600
Phone
(203) 886-0028
Fax
(203) 886-0035
NPI assigned
Mar 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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. Stephen Niles Fox, D.M.D.NPI 1174654610
Title
President
Phone
(203) 886-0028

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
Pediatric Dentistry 1223P0221X 4703 CT Primary

Addresses

Primary practice location

546 S Broad St
Suite 2D
Meriden, CT 06450-6600

Mailing address

546 S Broad St
Suite 2D
Meriden, CT 06450-6600
Phone (203) 886-0028

National Provider Directory

National Provider Directory

Locations

546 S Broad St
Ste 2D
Meriden, CT 06450
Phone (203) 630-1312

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952432411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 S BROAD ST",
            "address_2": "SUITE 2D",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064506600",
            "telephone_number": "203-886-0028",
            "fax_number": "203-886-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 S BROAD ST",
            "address_2": "SUITE 2D",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064506600",
            "telephone_number": "203-886-0028",
            "fax_number": "203-886-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX PEDIATRIC & ADOLESCENT DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "NILES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-886-0028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CT",
            "license": "4703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meriden, CT

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.