NPIMap

Organization Active NPI

Fairhope Cosmetic and Family Dentistry, PC

  • Dental Clinic/Center
  • Fairhope, AL
National Provider Identifier
1477067783
Registry record updated Nov 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3784 Issued in AL
Legal business name
FAIRHOPE COSMETIC AND FAMILY DENTISTRY, PC
Practice address
101 Fly Creek Ave Ste 301
Fairhope, AL 36532-8310
Phone
(251) 990-7797
NPI assigned
Nov 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2017

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

Authorized official

Name
Dr. James Theodore Melton Jr., DMD
Title
Owner
Phone
(251) 990-7797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 3784 AL Primary

Addresses

Primary practice location

101 Fly Creek Ave Ste 301
Fairhope, AL 36532-8310

Mailing address

101 Fly Creek Ave Ste 301
Fairhope, AL 36532-8310
Phone (251) 990-7797

National Provider Directory

National Provider Directory

Locations

101 Fly Creek Ave
Ste 301
Fairhope, AL 36532
Phone (251) 990-7797

NPI Registry JSON

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511308800000",
    "number": "1477067783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 FLY CREEK AVE STE 301",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365328310",
            "telephone_number": "251-990-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FLY CREEK AVE STE 301",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365328310",
            "telephone_number": "251-990-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRHOPE COSMETIC AND FAMILY DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-22",
        "last_updated": "2017-11-22",
        "status": "A",
        "authorized_official_last_name": "MELTON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-990-7797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AL",
            "license": "3784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; 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.