Individual provider Active NPI

David Alden Hatheway, DMD

  • General Practice Dentistry
  • Dothan, AL
National Provider Identifier
1598147449
Registry record updated Jan 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6197 Issued in AL
Practice address
5412 Montgomery Hwy Ste 8
Dothan, AL 36303-1657
Phone
(334) 983-1730
Fax
(334) 983-1725
NPI assigned
Jun 26, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2016

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 6197 AL Primary

Addresses

Primary practice location

5412 Montgomery Hwy Ste 8
Dothan, AL 36303-1657

Mailing address

230 E 10TH St
Suite 106
Anniston, AL 36207-5784
Phone (256) 741-7340

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6197ALMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453420800000",
    "number": "1598147449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E 10TH ST",
            "address_2": "SUITE 106",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075784",
            "telephone_number": "256-741-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5412 MONTGOMERY HWY STE 8",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363031657",
            "telephone_number": "334-983-1730",
            "fax_number": "334-983-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATHEWAY",
        "first_name": "DAVID",
        "middle_name": "ALDEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-26",
        "last_updated": "2016-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "6197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.