Organization Active NPI

Dr. Trey'S Children'S Dentistry

  • Pediatric Dentistry
  • Fairhope, AL
National Provider Identifier
1730459538
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
5292 Issued in AL
Legal business name
DR. TREY'S CHILDREN'S DENTISTRY
Practice address
24208 US Highway 98
Suite C
Fairhope, AL 36532-3466
Phone
(251) 928-3030
Fax
(251) 928-2455
NPI assigned
Jan 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

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

Authorized official

Name
Dr. Paul Hoke Fellers III, D.M.D.NPI 1679761902
Title
President
Phone
(251) 928-3030

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 5292 AL Primary

Addresses

Primary practice location

24208 US Highway 98
Suite C
Fairhope, AL 36532-3466

Mailing address

303 N Section St
Fairhope, AL 36532-2634
Phone (251) 928-3030

National Provider Directory

National Provider Directory

Locations

303 N Section St
Fairhope, AL 36532

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1730459538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N SECTION ST",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322634",
            "telephone_number": "251-928-3030",
            "fax_number": "251-928-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24208 US HIGHWAY 98",
            "address_2": "SUITE C",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323466",
            "telephone_number": "251-928-3030",
            "fax_number": "251-928-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TREY'S CHILDREN'S DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-10",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "FELLERS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "HOKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-928-3030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "5292",
            "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 Aug 2, 2013; 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.