Organization Active NPI

Travis J. Fiegle, DMD, PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bluffton, SC
National Provider Identifier
1376288209
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
TRAVIS J. FIEGLE, DMD, PA
Practice address
102 Buckwalter Pkwy Ste 3J
Bluffton, SC 29910-4130
Phone
(843) 836-3010
Fax
(843) 836-3014
NPI assigned
May 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Authorized official

Name
Dr. Travis Fiegle, DMDNPI 1093027344
Title
President
Phone
(404) 295-5811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

102 Buckwalter Pkwy Ste 3J
Bluffton, SC 29910-4130

Mailing address

102 Buckwalter Pkwy Ste 3J
Bluffton, SC 29910-4130
Phone (843) 836-3010

Other practice location 1

960 Ribaut Rd Ste 2
Beaufort, SC 29902-5433
Phone (843) 525-6228

Other practice location 2

3901 Main St Ste C
Hilton Head, SC 29926-4613
Phone (843) 305-6649

Other identifiers 1

IdentifierTypeStateIssuer
ZX8151MedicaidSC

National Provider Directory

National Provider Directory

Locations

102 Buckwalter Pkwy
Ste 3J
Bluffton, SC 29910
Phone (843) 836-3010

3901 Main St
Ste C
Hilton Head Island, SC 29926
Phone (843) 305-6649

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1376288209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 BUCKWALTER PKWY STE 3J",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104130",
            "telephone_number": "843-836-3010",
            "fax_number": "843-836-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 BUCKWALTER PKWY STE 3J",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104130",
            "telephone_number": "843-836-3010",
            "fax_number": "843-836-3014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "960 Ribaut Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Beaufort",
            "state": "SC",
            "postal_code": "299025433",
            "country_code": "US",
            "telephone_number": "843-525-6228",
            "fax_number": "843-524-4468",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3901 Main St Ste C",
            "address_purpose": "LOCATION",
            "city": "Hilton Head",
            "state": "SC",
            "postal_code": "299264613",
            "country_code": "US",
            "telephone_number": "843-305-6649",
            "fax_number": "843-305-6749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRAVIS J. FIEGLE, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "FIEGLE",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-295-5811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX8151",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.