Allen B. Cox Jr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29926 Issued in CA

Practice address

38460 S. Highway One
Gualala, CA 95445-1199

Phone

(707) 884-3738

Fax

(707) 884-4946

NPI assigned

Jun 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982808119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1199",
            "city": "GUALALA",
            "state": "CA",
            "postal_code": "954451199",
            "telephone_number": "707-884-3738",
            "fax_number": "707-884-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38460 S. HIGHWAY ONE",
            "city": "GUALALA",
            "state": "CA",
            "postal_code": "954451199",
            "telephone_number": "707-884-3738",
            "fax_number": "707-884-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "ALLEN",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "29926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Bergeron
• Carolee Brady, MFT
• Joanne C. Brooks, R.N.
• Jenifer Burkett, MA MFT
• Coast Life Support District
• Gena Lynn Davis, O.D.
• Lois Falk, N.P.
• Laura B Franklin, L.AC. M.S.
• Olaf Kristian Golubjatnikov
• Gualala Pharmacy, Inc.

• General Practice Dentistry in Gualala, CA
• Providers in Gualala, CA by specialty
• General Practice Dentistry in California

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.