Active NPI
Starfish Fairhope
- General Practice Dentistry
- Fairhope, AL
National Provider Identifier
1104108398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- STARFISH FAIRHOPE
- Doing business as
- Sensible Dental
- Practice address
- 10040 County Road 48
Fairhope, AL 36532 - Phone
- (251) 928-0131
- NPI assigned
- Sep 13, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andre Bruni, DDS
- Title
- Owner
- Phone
- (225) 767-2273
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
10040 County Road 48
Fairhope, AL 36532
Mailing address
4451 Bluebonnet Blvd
Suite F
Baton Rouge, LA 70809
Phone (225) 767-2273
Other names 1
- Sensible Dental
National Provider Directory
National Provider DirectoryLocations
10040 County Road 48
Fairhope, AL 36532
Phone (251) 220-6780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323302400000",
"number": "1104108398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4451 BLUEBONNET BLVD",
"address_2": "SUITE F",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "70809",
"telephone_number": "225-767-2273",
"fax_number": "225-769-3395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10040 COUNTY ROAD 48",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "36532",
"telephone_number": "251-928-0131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STARFISH FAIRHOPE",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-13",
"last_updated": "2011-12-08",
"status": "A",
"authorized_official_last_name": "BRUNI",
"authorized_official_first_name": "ANDRE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "225-767-2273",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sensible Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fairhope, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.