Active NPI
Elizabeth Reed Fox, DDS
- Dentist
- Simpsonville, SC
National Provider Identifier
1962147280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DGD.10704
- Practice address
- 11 Magnolia CV Dr
Simpsonville, SC 29680 - Phone
- (864) 841-8062
- NPI assigned
- May 2, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DGD.10704 | SC | Primary |
| Dentist | 122300000X | DN27663 | FL | |
| Pediatric Dentistry | 1223P0221X | DRPM2445 | FL | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
11 Magnolia CV Dr
Simpsonville, SC 29680
Mailing address
7735 SW 11TH Place
Gainesville, FL 32607
Phone (352) 265-0111
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 |
|---|---|---|---|
| DN27663 | FL | MD | Dentist |
| DGD.10704 | SC | MD | Dentist |
| DRPM2445 | FL | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709164800000",
"number": "1962147280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7735 SW 11TH PLACE",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "32607",
"telephone_number": "352-265-0111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 MAGNOLIA CV DR",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "29680",
"telephone_number": "864-841-8062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "ELIZABETH",
"middle_name": "REED",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-02",
"last_updated": "2024-02-29",
"certification_date": "2022-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "DGD.10704",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN27663",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "DRPM2445",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Simpsonville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.