Active NPI
Jack Brent McFarland, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Dothan, AL
National Provider Identifier
1689736977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 3054
- Practice address
- 1609 W Main St
Suite 201
Dothan, AL 36301-1362 - Phone
- (334) 793-6060
- Fax
- (334) 836-0199
- NPI assigned
- Dec 14, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 3054 | AL | Primary |
Addresses
Primary practice location
1609 W Main St
Suite 201
Dothan, AL 36301-1362
Mailing address
1609 W Main St
Suite 201
Dothan, AL 36301-1362
Phone (334) 793-6060
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3054 | AL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Headache & TMJ Center Therapy of the Southeast LLC | Orthodontics and Dentofacial Orthopedics | 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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Dothan, AL
- NPI 1952773749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689736977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1609 W MAIN ST",
"address_2": "SUITE 201",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363011362",
"telephone_number": "334-793-6060",
"fax_number": "334-836-0199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1609 W MAIN ST",
"address_2": "SUITE 201",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363011362",
"telephone_number": "334-793-6060",
"fax_number": "334-836-0199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCFARLAND",
"first_name": "JACK",
"middle_name": "BRENT",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "AL",
"license": "3054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dothan, 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.