Active NPI
Travis J. Fiegle, DMD, PA
- Orthodontics and Dentofacial Orthopedics Dentistry
- Bluffton, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Travis Fiegle, DMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZX8151 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Bluffton, SC
- NPI 1093027344
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Bluffton, SC
- NPI 1386158541
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.