NPIMap

Organization Active NPI

Fairhope Pediatric Dentistry, PC

  • Pediatric Dentistry
  • Fairhope, AL
National Provider Identifier
1588940431
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
5316 Issued in AL
Legal business name
FAIRHOPE PEDIATRIC DENTISTRY, PC
Practice address
115 Lottie LN
Fairhope, AL 36532-2995
Phone
(251) 928-5045
NPI assigned
Oct 24, 2011
Last updated
Oct 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Authorized official

Name
William Wells Hammock, DMDNPI 1104014430
Title
Owner/Dentist
Phone
(251) 928-5045

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
Pediatric Dentistry 1223P0221X 5316 AL Primary

Addresses

Primary practice location

115 Lottie LN
Fairhope, AL 36532-2995

Mailing address

115 Lottie LN
Fairhope, AL 36532-2995

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1588940431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 LOTTIE LN",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 LOTTIE LN",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322995",
            "telephone_number": "251-928-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRHOPE PEDIATRIC DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-24",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "HAMMOCK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "WELLS",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "251-928-5045",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "5316",
            "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 Oct 24, 2011; 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.