Active NPI
Viki Mae Fox, R.D.A.
- Dental Assistant
- Fremont, CA
National Provider Identifier
1962511105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- 50964
- Practice address
- 4465 Gibraltar Dr
Fremont, CA 94536-4636 - Phone
- (510) 794-6591
- NPI assigned
- Aug 30, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | 50964 | CA | Primary |
Addresses
Primary practice location
4465 Gibraltar Dr
Fremont, CA 94536-4636
Mailing address
4465 Gibraltar Dr
Fremont, CA 94536-4636
Phone (510) 794-6591
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 |
|---|---|---|---|
| 50964 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962511105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4465 GIBRALTAR DR",
"city": "FREMONT",
"state": "CA",
"postal_code": "945364636",
"telephone_number": "510-794-6591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4465 GIBRALTAR DR",
"city": "FREMONT",
"state": "CA",
"postal_code": "945364636",
"telephone_number": "510-794-6591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "VIKI",
"middle_name": "MAE",
"name_prefix": "Miss",
"credential": "R.D.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "CA",
"license": "50964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.