Active NPI
Jacob Paul Alexander, DDS
- Dentist
- Fairhope, AL
National Provider Identifier
1013757244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D.007298-C1
- Practice address
- 23678 US Highway 98
Fairhope, AL 36532-3336 - Phone
- (251) 928-8770
- NPI assigned
- May 27, 2024
- Last updated
- Jun 14, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D.007298-C1 | AL | Primary |
Addresses
Primary practice location
23678 US Highway 98
Fairhope, AL 36532-3336
Mailing address
23678 US Highway 98
Fairhope, AL 36532-3336
Phone (225) 588-7221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240805000522 | AL | Order and Referring Only - Dentist | 0143767400 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D.007298-C1 | AL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northcutt Dental Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Fairhope, AL
- NPI 1295890515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718323200000",
"number": "1013757244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23678 US HIGHWAY 98",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365323336",
"telephone_number": "225-588-7221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23678 US HIGHWAY 98",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365323336",
"telephone_number": "251-928-8770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "JACOB",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-27",
"last_updated": "2024-06-14",
"certification_date": "2024-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "D.007298-C1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairhope, AL
- Alabama Providence Healthcare Services (Providence Medical Group - Fairhope)
- Alan B Melton DMD PC
- Carl E. Albertson, M.D.
- Connie Louise Albright, LICSW
- Alexander Chiropractic, LLC
- Nikoleta Despina Alexander, D.C.
- Srihasa Allam, MD
- Altera Health and Rehabilitation Center LLC
- Always Connected Inc.
- Am Medical, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.