Jess Fowler Havron, D.M.D., M.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

5682 Issued in AL

Practice address

8154 Highway 59
Suite 203
Foley, AL 36535

Phone

(251) 923-4445

Fax

(251) 923-4446

NPI assigned

Jul 27, 2011

Last updated

Feb 15, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

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.

• Havron Endodontics, PC

  • Endodontics
  • Foley, AL
  • NPI 1144560459
  NPD (past) Authorized official

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360886400000",
    "number": "1417235235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8154 HIGHWAY 59",
            "address_2": "SUITE 203",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "36535",
            "telephone_number": "251-923-4445",
            "fax_number": "251-923-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8154 HIGHWAY 59",
            "address_2": "SUITE 203",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "36535",
            "telephone_number": "251-923-4445",
            "fax_number": "251-923-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVRON",
        "first_name": "JESS",
        "middle_name": "FOWLER",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-27",
        "last_updated": "2013-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AL",
            "license": "5682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mickey Ann Hardcastle, PTA
• Hilary Harless, NP
• Harrell Eye Care, Inc.
• Shanna Nicole Harville, CRNP
• Havron Endodontics, PC
• Health Focus P.C.
• Marissa Danielle Hermsen, ATC
• Mary Higginbotham, LPC
• Hightower Family Chiropractic, LLC
• Richard K. Hightower, D.C.

• Endodontics in Foley, AL
• Providers in Foley, AL by specialty
• Endodontics in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; 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.