Jerry Andrew Fikes, DMD MAGD

Primary specialty

DentistTaxonomy code 122300000X

License

3162 Issued in AL

Practice address

217 McFarland Circle North
Tuscaloosa, AL 35406

Phone

(205) 345-7755

Fax

(205) 343-9075

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dental Associates of Tuscaloosa LLC

  • Dentist
  • Tuscaloosa, AL
  • NPI 1942394820
  NPD (past) Authorized official
• Vandervoort Family Dentistry, PC

  • General Practice Dentistry
  • Tuscaloosa, AL
  • NPI 1841785052
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063592525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 MCFARLAND CIRCLE NORTH",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "35406",
            "telephone_number": "205-345-7755",
            "fax_number": "205-343-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 MCFARLAND CIRCLE NORTH",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "35406",
            "telephone_number": "205-345-7755",
            "fax_number": "205-343-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIKES",
        "first_name": "JERRY",
        "middle_name": "ANDREW",
        "credential": "DMD MAGD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "3162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51506076",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Douglas Ferguson, M.D.
• Mary Beth Ferguson, RN
• Neumarishel Ferguson, PHARMD
• Valentin A. Ferro, D.M.D., P.C.
• Jodi Fields, FNP-C
• Mary Margaret Fil, PA-C
• Lillian J Findlay, NP
• First Care LLC
• First Kids
• First PT

• Dentist in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Dentist in Alabama

• 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.