MARY ELISE FOX DDS
NPI 1972115210
Dentist in Shreveport, LA

Q: What is Mary Elise Fox's NPI number?

The NPI number for Mary Elise Fox is 1972115210. It was assigned to this individual provider in the NPPES registry on August 18, 2020.

Q: What is Mary Elise Fox's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Elise Fox was last updated on February 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 18, 2020PECOS Enrolled

1541 KINGS HWY, SHREVEPORT, LA 71103(318) 626-0000 Get Directions Write a Review

NPPES record last updated: February 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 14, 2023, Aug 18, 2020 (2 updates tracked since 2020).

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About Mary Elise Fox Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ELISE FOX DDS (NPI 1972115210) is an individual dentist in Shreveport, Louisiana, licensed in Louisiana (7354) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972115210

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameMARY ELISE FOXCredential: DDS

Location Address1541 KINGS HWYShreveport, LA 71103-4228

Mailing Address1512 W Kirby PlShreveport, LA 71103-3822 · (318) 626-0287

Phone(318) 626-0000

Sole ProprietorNo

Enumeration DateAugust 18, 2020

Last NPPES UpdateFebruary 14, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 14, 2023

✔ NPI 1972115210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in LA · 7354✔ Licensed in WA · TP61089701

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 7354 (LA)

1541 KINGS HWY, Shreveport, LA 71103

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Elise Fox Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$67.06 typical visit price

range $16.64 – $133.62

Typical copayment $16.76 (range $4.16 – $33.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRATIK AGRAWAL

Internal Medicine (Cardiovascular Disease)