Individual provider Active NPI

Terry G Whatley, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Hoover, AL
National Provider Identifier
1689697773
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2982 Issued in AL
Practice address
2321 John Hawkins Pkwy
Suite 109
Hoover, AL 35244-3540
Phone
(205) 987-1173
Fax
(205) 987-5034
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 1315 MT
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 2982 AL Primary

Addresses

Primary practice location

2321 John Hawkins Pkwy
Suite 109
Hoover, AL 35244-3540

Mailing address

2321 John Hawkins Pkwy
Suite 113
Hoover, AL 35244-3540
Phone (205) 987-1173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120918000380 AL Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 0345336954 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1315MTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. Current Accepting new patients
Helms Family Dental Practice PC PastSince Nov 10, 2019 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

2321 John Hawkins Pkwy
Ste 113
Hoover, AL 35244

2321 John Hawkins Pkwy
Ste 109
Hoover, AL 35244
Phone (205) 987-1173

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1689697773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 JOHN HAWKINS PKWY",
            "address_2": "SUITE 113",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443540",
            "telephone_number": "205-987-1173",
            "fax_number": "205-987-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 JOHN HAWKINS PKWY",
            "address_2": "SUITE 109",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443540",
            "telephone_number": "205-987-1173",
            "fax_number": "205-987-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHATLEY",
        "first_name": "TERRY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MT",
            "license": "1315",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AL",
            "license": "2982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

Verify at the official NPI Registry.