Individual provider Active NPI

James Fredrick Cox

  • General Practice Dentistry
  • Cedar Rapids, IA
National Provider Identifier
1972634756
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
08112 Issued in IA
Practice address
4135 Wilson Ave SW
Cedar Rapids, IA 52404-6342
Phone
(319) 396-0700
Fax
(319) 396-4410
NPI assigned
Mar 7, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 08112 IA Primary

Addresses

Primary practice location

4135 Wilson Ave SW
Cedar Rapids, IA 52404-6342

Mailing address

4135 Wilson Ave SW
Cedar Rapids, IA 52404-6342
Phone (319) 396-0700

Other identifiers 1

IdentifierTypeStateIssuer
0262808MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160317000968 IA Order and Referring Only - DentistPractitioner - Dentist 1355647322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08112IAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Westdale Dental Office General Practice Past Accepting new patients
Jim Cox DDS, PC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972634756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4135 WILSON AVE SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524046342",
            "telephone_number": "319-396-0700",
            "fax_number": "319-396-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4135 WILSON AVE SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524046342",
            "telephone_number": "319-396-0700",
            "fax_number": "319-396-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "JAMES",
        "middle_name": "FREDRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0262808",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.