Alexis Marthajane Hallissey, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9840 Issued in SC

Practice address

1264 Nexton Pkwy Ste 202
Summerville, SC 29486-2167

Phone

(854) 237-0876

NPI assigned

Jun 30, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Dr. Alexis Marthajane Fraser Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Foreside Family Dental PLLC

  • Dentist
  • Kittery, ME
  • NPI 1376931782
  NPD (past) Authorized official
• Robert Bogard DDS

  • General Practice Dentistry
  • Kittery, ME
  • NPI 1568677474
  NPD (past)

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1770894149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WALKER ST",
            "city": "KITTERY",
            "state": "ME",
            "postal_code": "039041728",
            "telephone_number": "207-439-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 NEXTON PKWY STE 202",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294862167",
            "telephone_number": "854-237-0876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Walker St",
            "address_purpose": "LOCATION",
            "city": "Kittery",
            "state": "ME",
            "postal_code": "039041728",
            "country_code": "US",
            "telephone_number": "207-439-2310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALLISSEY",
        "first_name": "ALEXIS",
        "middle_name": "MARTHAJANE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-30",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "03858",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "9840",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "4412",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30309908",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "FRASER",
            "middle_name": "MARTHAJANE",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Courtney K Hall, CRNA
• Crystal Hall
• Crystal Hall
• Danielle Hall, CCC-SLP
• Mary Elizabeth Hall, MSP, CCC-SLP
• Hallmark Long Term Care LLC
• Hamilton Health LLC
• Brittany Hamilton, PHARM.D
• Kela Marie Hamilton, DNP, APRN, FNP-C,-BC
• Allison D Hamm, APRN

• General Practice Dentistry in Summerville, SC
• Providers in Summerville, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.