PAUL FOX
NPI 1811120728
Dentist - Orthodontics and Dentofacial Orthopedics in Portland, OR
NPI Status: Active since August 25, 2009
Contact Information
511 SW 10TH AVE, STE 810
PORTLAND, OR
ZIP 97205
Phone: (503) 223-5039
Fax: (503) 223-1123
- Individual
- Male
- Dentist
- Orthodontics and Dentofacial Orthopedics
- Accepts Insurance
- PECOS Enrolled
About PAUL FOX
This page provides the complete NPI Profile along with additional information for Paul Fox, a provider established in Portland, Oregon with a medical specialization in Dentist, focusing in orthodontics and dentofacial orthopedics . The healthcare provider is registered in the NPI registry with number 1811120728 assigned on August 2009. The practitioner's primary taxonomy code is 1223X0400X with license number D9860 (OR). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1811120728
- Provider Name
- PAUL FOX
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 511 SW 10TH AVE, STE 810 PORTLAND, OR 97205
- Location Phone
- (503) 223-5039
- Location Fax
- (503) 223-1123
- Mailing Address
- 511 SW 10TH AVE, STE 810 PORTLAND, OR 97205
- Mailing Phone
- (503) 223-5039
- Mailing Fax
- (503) 223-1123
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-25-2009
- Last Update Date
- 09-08-2016
- Code Navigator
A dentist like Paul Fox is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Orthodontics and Dentofacial Orthopedics
- Taxonomy Code
- 1223X0400X
- Type
- Dental Providers
- License No.
- D9860
- License State
- OR
- Taxonomy Description
- That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
- Delta Dental EPO - EPO
- Delta Dental PPO - PPO
- Delta Dental PPO MAC - PPO
- Humana Dental Smart Choice - PPO
- Humana Dental Smart Choice - High - PPO
- Humana Dental Smart Choice - Lite - PPO
- Humana Dental Smart Choice - Low - PPO
- Humana Dental Smart Choice Basic - PPO
- Humana Dental Smart Choice- Lite - PPO
- Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
- Bronze HSA 7000 Individual and Family Network - EPO
- Gold 2300 Individual and Family Network - EPO
- Gold 2300 Legacy - EPO
- Regence Standard Bronze Plan Individual and Family Network - EPO
- Regence Standard Bronze Plan Legacy - EPO
- Regence Standard Gold Plan Individual and Family Network - EPO
- Regence Standard Gold Plan Legacy - EPO
- Regence Standard Silver Plan Individual and Family Network - EPO
- Regence Standard Silver Plan Legacy - EPO
- Silver 6200 Individual and Family Network - EPO
- Silver 6200 Legacy - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Paul Fox is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 97205 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.51
- Minimum New Patient Price $58.99
- Maximum New Patient Price $176.88
- Average New Patient Copayment $22.62
- Minimum New Patient Copayment $14.74
- Maximum New Patient Copayment $44.22
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $73.28
- Minimum Established Patient Price $19.32
- Maximum Established Patient Price $144.79
- Average Established Patient Copayment $18.32
- Minimum Established Patient Copayment $4.83
- Maximum Established Patient Copayment $36.19
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 1 | 1 | 1 | 2 | 0 | 7 | 2 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 2 | 1 | 2 | 2 | 0 | 7 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 2 + 1 + 2 + 2 + 0 + 7 + 4 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1811120728 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811120728, enumerated in the NPI registry as an "individual" on August 25, 2009
The provider is located at 511 Sw 10th Ave, Ste 810 Portland, Or 97205 and the phone number is (503) 223-5039
The provider's speciality is Dentist with taxonomy code 1223X0400X with a focus in Orthodontics and Dentofacial Orthopedics
The provider might be accepting Accepts: BridgeSpan Health Company, Delta Dental Plan of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
Medicare beneficiaries should expect a typical cost of $90.51 with an average copayment of $22.62 for new patient appointments. Established patients should expect a typical charge of $73.28 and an average copayment of 18.32. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on August 25, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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