{
"Npi": {
"NPI": "1003337957",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "RUSSELL B. FOX, D.M.D. PC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 873",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NORWELL",
"MailingAddressStateName": "MA",
"MailingAddressPostalCode": "02061-0873",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "781-738-6631",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "259 CENTRE ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MIDDLEBORO",
"PracticeLocationAddressStateName": "MA",
"PracticeLocationAddressPostalCode": "02346-2234",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "781-738-6631",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/30/2017",
"LastUpdateDate": "06/16/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FOX",
"AuthorizedOfficialFirstName": "RUSSELL",
"AuthorizedOfficialMiddleName": "BARRY",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DMD",
"AuthorizedOfficialTelephoneNumber": "781-738-6631",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": "DN17399",
"LicenseNumberStateCode": "MA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}