NPIMap

Organization Active NPI

Fred H. Clausell, Jr., D.M.D., P.C.

  • Dentist
  • Mobile, AL
National Provider Identifier
1457684342
Registry record updated Sep 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3323 Issued in AL
Legal business name
FRED H. CLAUSELL, JR., D.M.D., P.C.
Practice address
451 South Broad St
Mobile, AL 36603-1121
Phone
(251) 432-3322
Fax
(251) 438-9454
NPI assigned
Sep 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2009

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

Authorized official

Name
Dr. Fred Hestle Clausell Jr., D.M.D.NPI 1679650832
Title
Dentist
Phone
(251) 432-3322

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 3323 AL Primary

Addresses

Primary practice location

451 South Broad St
Mobile, AL 36603-1121

Mailing address

451 South Broad St
Mobile, AL 36603-1121
Phone (251) 432-3322

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1252540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252540800000",
    "number": "1457684342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 SOUTH BROAD ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366031121",
            "telephone_number": "251-432-3322",
            "fax_number": "251-438-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 SOUTH BROAD ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366031121",
            "telephone_number": "251-432-3322",
            "fax_number": "251-438-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED H. CLAUSELL, JR., D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A",
        "authorized_official_last_name": "CLAUSELL",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "HESTLE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "251-432-3322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AL",
            "license": "3323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.