Individual provider Active NPI

Barry Scott Fitts, D.M.D.

  • General Practice Dentistry
  • Athens, AL
National Provider Identifier
1467679746
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5493 Issued in AL
Practice address
27453 Capshaw Rd
Suite D
Athens, AL 35613-7511
Phone
(256) 216-8525
Fax
(256) 216-8527
NPI assigned
Apr 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5493 AL Primary

Addresses

Primary practice location

27453 Capshaw Rd
Suite D
Athens, AL 35613-7511

Mailing address

27453 Capshaw Rd
Suite D
Athens, AL 35613-7511
Phone (256) 216-8525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5493ALMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
East Limestone Family Dental, PC General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467679746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27453 CAPSHAW RD",
            "address_2": "SUITE D",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356137511",
            "telephone_number": "256-216-8525",
            "fax_number": "256-216-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27453 CAPSHAW RD",
            "address_2": "SUITE D",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356137511",
            "telephone_number": "256-216-8525",
            "fax_number": "256-216-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITTS",
        "first_name": "BARRY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.