Active NPI
Douglas Glen Hammond, DMD
- Periodontics
- Huntsville, AL
National Provider Identifier
1770699183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 03761
- Practice address
- 401 Balmoral Dr
Ste a
Huntsville, AL 35801-6409 - Phone
- (256) 882-0255
- Fax
- (256) 882-0215
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 03761 | AL | Primary |
Addresses
Primary practice location
401 Balmoral Dr
Ste a
Huntsville, AL 35801-6409
Mailing address
401 Balmoral Dr
Ste a
Huntsville, AL 35801-6409
Phone (256) 882-0255
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 |
|---|---|---|---|
| 03761 | AL | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770699183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 BALMORAL DR",
"address_2": "STE A",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358016409",
"telephone_number": "256-882-0255",
"fax_number": "256-882-0215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 BALMORAL DR",
"address_2": "STE A",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358016409",
"telephone_number": "256-882-0255",
"fax_number": "256-882-0215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMOND",
"first_name": "DOUGLAS",
"middle_name": "GLEN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "AL",
"license": "03761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, 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.